Efficacy of Baska Mask for Airway Management During General Anaesthesia for Flexible Bronchoscopy - A Prospective Analytical Study
Abstract
Background and Aim: A study on the efficacy of the Baska Mask, a third-generation supraglottic airway device, for airway management during flexible bronchoscopy under general anaesthesia. Flexible bronchoscopy is used for both diagnostic and therapeutic purposes. The transition from local anaesthesia to general anaesthesia for flexible bronchoscopy has become common, particularly for more complex procedures and high-risk patients. The primary outcome was the ease of manipulation of flexible bronchoscope through the Baska Mask, scored by a pulmonologist, while secondary outcomes included the bronchoscopic view of the glottis and perioperative complications.
Methods: After institutional ethics committee approval, this prospective analytical study was performed in 50 adult patients undergoing flexible bronchoscopy under general anaesthesia using Baska Mask for airway management.
Results: The study found that the Baska Mask was easy to manipulate, with most patients scoring a 1 (no resistance) or 2 on a 10-point scale. After manipulation, the percentage of glottis opening (POGO) score improved significantly, with 98% of patients achieving a score of 100% (entire glottis structure visible). Hemodynamic parameters remained almost stable throughout the procedure, and there were no significant complications such as spasm or desaturation. However, there were instances of device dislodgement and sore throat, with the former being more common in patients with a higher BMI.
Conclusion: The study concluded that the Baska Mask is a safe and efficient alternative to endotracheal intubation for flexible bronchoscopy procedures, offering advantages such as reduced hemodynamic stress, easier manipulation of endobronchial devices and a high success rate in maintaining the airway.
Letters in High Energy Physics (LHEP) is an open access journal. The articles in LHEP are distributed according to the terms of the creative commons license CC-BY 4.0. Under the terms of this license, copyright is retained by the author while use, distribution and reproduction in any medium are permitted provided proper credit is given to original authors and sources.
Terms of Submission
By submitting an article for publication in LHEP, the submitting author asserts that:
1. The article presents original contributions by the author(s) which have not been published previously in a peer-reviewed medium and are not subject to copyright protection.
2. The co-authors of the article, if any, as well as any institution whose approval is required, agree to the publication of the article in LHEP.
