Comparative Efficacy and Safety of Baska Mask and I-Gel in Short Surgical Procedures: A Meta-Analysis

Abstract Background: The Baska Mask and I-gel are popular supraglottic airway devices (SGADs) because they are easy to use and maintain a functional airway without endotracheal insertion. Both devices are widely used, although there is limited evidence of their usefulness and safety in minor surgery. This meta-analysis aimed to evaluate and compare the clinical performance of the Baska and I-gel masks in terms of ease of insertion, insertion success rates, oropharyngeal leak pressure (OLP), insertion time, and postoperative complications. Materials and Methods: Our systematic literature search included PubMed, Google Scholar, Web of Science, and the Cochrane Library from 2010 to 2023. Seven minor and laparoscopic surgical studies were included. Single-attempt success rate, ease of insertion, OLP, insertion time, and postoperative complications were evaluated. Data were analyzed using RevMan 5.3, and heterogeneity was determined using the I 2 statistic. Results: Both devices show comparable single-attempt success rates (odds ratio [OR]: 0.82, 95% confidence intervals [CIs]: 0.48–1.41) and complications (OR: 1.49, 95% CI: 0.83–2.69). Baska Mask shows significant advantages in terms of ease of insertion (OR: 0.50, 95% CI: 0.29–0.87) and lower OLP (standardized mean differences [SMD]: 3.20 cm H 2 O, 95% CI: 1.37–5.03, P < 0.001). Meanwhile, I-gel shows less time required for insertion (SMD: 2.05 s, 95% CI: 0.43–3.68, P = 0.01). Conclusion: In emergency or time-critical situations, the rapid insertion and ease of use of the I-gel mask are advantageous. However, the improved OLP of the Baska Mask benefits high-pressure ventilation. Both devices are safe, so they can be used in many therapeutic contexts.