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Comparison of I-gel LMA, Classical LMA With a New Supraglottic Airway the Baska Mask® in Urological Surgery

Comparison of I-gel LMA, Classical LMA With a New Supraglottic Airway the Baska Mask®in Urological Surgery Regarding Their Efficacy and Safety

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03002857
Acronym
BCIM
Enrollment
150
Registered
2016-12-26
Start date
2015-09-30
Completion date
2016-09-30
Last updated
2017-05-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Airway Management

Keywords

Laryngeal Mask Airway, Urologic Surgical Procedure

Brief summary

The most used airway management strategies are different types of supraglottic airway devices (SAD) for transurethral resection of bladder and ureteroscopy in urological surgery . Classical laryngeal mask airway (LMA-C) and I-Gel SADs are being used already. The aim of this study was to evaluate and compare the performance of a new type of SAD the Baska Mask® with I-gel and LMA-C regarding their insertion times, durations, perioperative complications and effects on hemodynamic parameters, peak airway pressures (Paw) and airway plato pressures in urological surgery as well.

Detailed description

The most used airway management strategies are different types of supraglottic airway devices (SAD) for transurethral resection of bladder and ureteroscopy in urological surgery . Classical laryngeal mask airway (LMA-C) and I-Gel SADs are being used already. The aim of this study was to evaluate and compare the performance of a new type of SAD the Baska Mask® with I-gel and LMA-C regarding their insertion times, durations, perioperative complications and effects on hemodynamic parameters, peak airway pressures (Paw) and airway plato pressures in urological surgery as well. The main suggestion about the Baska Mask® is that it's the most appropriate airway device with high Paws. In high Paws, higher air leaks may occur from the sides of cuff and this causes hypoventilation. So the main aim of this study is to evaltuate three devices in terms of insertion and ventilation times, the first attempt success rates, the additional maneuvering requirements and complications developed after intervention. The secondary objective of the study was to evaluate all three SADs in terms of airway pressures producing sufficient tidal volume and hemodynamical parameters.

Interventions

DEVICELMA-C

LMA-C will be placed into the patients airway following anesthesia induction. The placement will be done as suggested in supine position with a standard gel pillow under patients head.

Baska Mask will be placed into the patients airway following anesthesia induction. The placement will be done as suggested in supine position with a standard gel pillow under patients head.

DEVICEI-gel

I-gel LMA placement will be done as suggested in supine position with a standard gel pillow under patients head.

Sponsors

Turkiye Yuksek Ihtisas Education and Research Hospital
CollaboratorOTHER_GOV
Adiyaman University Research Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

* (ASA) 1-2-3 physical status scheduled for elective surgical procedure for transurethral resection of bladder and ureteroscopy.

Exclusion criteria

* Under the age of 18, history of hiatus hernia, gastroesophageal reflux, body mass index (BMI) \> 30 kg m-2, ASA physical status 4 or over and patients who met the difficult intubation criteria.

Design outcomes

Primary

MeasureTime frameDescription
Ventilation timesPerioperativeIt was evaluated that how many secs does it take to ventilate the patient.
The additional maneuveringPerioperativeıt was evaluated how many maneuvers needed to insert the device.
Airway related complicationsPerioperativeComplications like Bloodstain of the mask, Dysphagia, Tongue injury, Lips injury, Teeth injury, Palate injury, Sore throat, Hoarseness, Desaturation , Laryngospasm, Regurgitation/aspiration were evaluated.
Insertion timesPerioperativeIt was evaluated that how many secs does it take to insert properly.
First attemp success ratesPerioperativeIn how many patients it was inserted at first attempt

Secondary

MeasureTime frameDescription
Haemodynamic parameters, heart rate bpm, systolic and diastolic arterial pressures mmHgPerioperativePreoperative and following device insertion all haemodynamic parameters were evaluated in every 10 mins.
Airway PAP and Plateau pressuresPerioperativeBoth pressures were evaluated following device insertion and then in every 10 mins.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026