USE OF BASKA® MASK IN MILITARY TRAUMA & DISASTERS : MILITARY MEDICINE ON THE MOVE
Journal Title: IJAR-Indian Journal of Applied Research - Year 2019, Vol 9, Issue 2
Abstract
Introduction: Airway management is an essential component in the first aid of medical emergencies in the combat medical care. Though Endotracheal tube (ETT) is considered ideal for airway management, supraglottic airway devices (SGA) are gaining popularity as an alternative. We studied the use of a novel SGA device (BASKA® mask) in hospital which can be extended to the combat situation. Methods: In this randomised, clinical study, we compared two airway devices (ETT and Baska® Mask) for ventilation in patients (n=100) undergoing laparoscopic surgery. We evaluated the mean airway seal pressure, ease of insertion, time taken for insertion and the complication rates with the use of airway devices. The data were analyzed using appropriate statistical tests. Results: We found that the mean airway seal pressures were comparable with the two devices. The first-time success rate for insertion was higher with the Baska® mask than with the ETT (94% vs 70%) respectively (p < 0.001). The overall device insertion success rates were comparable between the two devices (100% vs 96% respectively, p = 0.5412). Conclusion: Baska® mask is comparable on various parameters to the ETT and is easier to insert due to its flexible head. This is relevant for airway management during combat medical support in field situations.
Authors and Affiliations
Navdeep Singh Lamba, Anurag Garg, Anuj Kumar Sharma
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