{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T15:37:48Z","timestamp":1794325068053,"version":"4.9.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>A few trials have studied the use of supraglottic airway devices (SADs) for obese patients. This trial aimed to compare four SADs: I-gel, Ambu AuraGain, Baska mask, and Laryngeal Mask Airway (LMA) Protector for airway management of obese patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This parallel-group, single-blind, comparative randomised study included 154 obese patients aged between 18 and 60 years who were planned for elective surgery. They were randomly allocated one of the above four SADs for airway management. Each group had 38 patients. The allocated SAD was inserted after induction of anaesthesia. oropharyngeal leak pressure (OLP) was the primary outcome. Data were analysed using analysis of variance, Kruskal-Wallis, or \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Baseline data of the patients were comparable. Mean OLP was highest with the Baska mask and lowest with the LMA Protector [32.97 (standard deviation (SD): 1.30) (95% confidence interval (CI): 32.54, 33.40] vs 30.08 (SD: 1.51) (95% CI: 29.58, 30.58) cm H\n                      <jats:sub>2<\/jats:sub>\n                      O). The mean leak fraction was highest with the Baska mask and lowest with Ambu AuraGain (6.88 (SD: 1.33) (95% CI: 6.44, 7.31) vs 6.08 (SD: 1.18) (95% CI: 5.69, 6.47)). The mean time taken to insert the SAD was shortest with I-gel and longest with Ambu AuraGain (18.58 (SD: 1.97) (95% CI: 17.93, 19.23) vs 29.11 (SD: 2.50) (95% CI: 28.28, 29.93) sec). Heart rate, SAD placement success rate, fibreoptic view of the glottis, blood pressure, and side effects were comparable amongst the devices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>For obese patients undergoing elective surgery, the Baska mask has the highest OLP, but I-gel, Ambu AuraGain, and LMA Protector are also acceptable choices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_755_24","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T08:00:17Z","timestamp":1739779217000},"page":"289-295","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of i-gel\u00ae, Ambu\u00ae AuraGain\u2122, Baska Mask, LMA\u00ae Protector\u2122 for airway management of obese surgical patients - A randomised comparative study"],"prefix":"10.4103","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3334-3339","authenticated-orcid":false,"given":"Rajesh","family":"Raman","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1234-0472","authenticated-orcid":false,"given":"Apoorva","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0152-0855","authenticated-orcid":false,"given":"Rati","family":"Prabha","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6449-5263","authenticated-orcid":false,"given":"Shefali","family":"Gautam","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8715-4568","authenticated-orcid":false,"given":"Akshay","family":"Anand","sequence":"additional","affiliation":[{"name":"Department of General Surgery, King George\u2019s Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,2,17]]},"reference":[{"key":"R1-20250217","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/sja.sja_351_21","article-title":"Airway management in patients with 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Scand"},{"key":"R8-20250217","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/ALN.0b013ef31825b6a80","article-title":"Hemodynamic and hormonal stress responses to endotracheal tube and ProSeal Laryngeal Mask Airway\u2122 for laparoscopic gastric banding","volume":"117","author":"Carron","year":"2012","journal-title":"Anesthesiology"},{"key":"R9-20250217","doi-asserted-by":"crossref","first-page":"535","DOI":"10.4103\/sja.SJA_79_18","article-title":"Comparison of I-gel for general anesthesia in obese and nonobese patients","volume":"12","author":"Prabha","year":"2018","journal-title":"Saudi J Anaesth"},{"key":"R10-20250217","doi-asserted-by":"crossref","first-page":"269","DOI":"10.4103\/ija.IJA_65_18","article-title":"Current practice patterns of supraglottic airway device usage in paediatric patients amongst anaesthesiologists: A nationwide survey","volume":"62","author":"Jain","year":"2018","journal-title":"Indian J Anaesth"},{"key":"R11-20250217","doi-asserted-by":"crossref","first-page":"801","DOI":"10.4103\/0019-5049.171571","article-title":"Current practice of difficult airway management: A survey","volume":"59","author":"Rajesh","year":"2015","journal-title":"Indian J Anaesth"},{"key":"R12-20250217","doi-asserted-by":"crossref","first-page":"S227","DOI":"10.4103\/ija.ija_152_23","article-title":"Comparison of clinical performance of Baska mask and Ambu AuraGain in patients undergoing surgery: A single-blinded, randomised comparative trial","volume":"67","author":"Raman","year":"2023","journal-title":"Indian J Anaesth"},{"key":"R13-20250217","doi-asserted-by":"crossref","first-page":"S245","DOI":"10.4103\/ija.ija_403_23","article-title":"Comparison of oropharyngeal leak pressure of LMA Protector and LMA ProSeal in anaesthetised paralysed patients - A randomised controlled trial","volume":"67","author":"Bhardwaj","year":"2023","journal-title":"Indian J 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A prospective, single-arm study","volume":"67","author":"Shah","year":"2023","journal-title":"Indian J Anaesth"},{"key":"R18-20250217","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1111\/j.1365-2044.2011.06682.x","article-title":"Comparison of the i-gel and the LMA-Unique laryngeal mask airway in patients with mild to moderate obesity during elective short-term surgery","volume":"66","author":"Weber","year":"2011","journal-title":"Anaesthesia"},{"key":"R19-20250217","doi-asserted-by":"crossref","first-page":"e0278871","DOI":"10.1371\/journal.pone.0278871","article-title":"Contrast of oropharyngeal leak pressure and clinical performance of I-gel\u2122 and LMA ProSeal\u2122 in patients: A meta-analysis","volume":"17","author":"Tan","year":"2022","journal-title":"PLoS One"},{"key":"R20-20250217","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1177\/0300060515607386","article-title":"Comparison of oropharyngeal leak pressure and clinical performance of LMA ProSeal\u2122 and i-gel\u00ae in adults: Meta-analysis and systematic review","volume":"44","author":"Shin","year":"2016","journal-title":"J Int Med Res"},{"key":"R21-20250217","doi-asserted-by":"crossref","first-page":"16","DOI":"10.62347\/KJRU4855","article-title":"Supraglottic airway devices: a powerful strategy in airway management","volume":"14","author":"Zhang","year":"2024","journal-title":"Am J Cancer Res"},{"key":"R22-20250217","doi-asserted-by":"crossref","first-page":"842","DOI":"10.4103\/ija.ija_827_21","article-title":"Comparative evaluation of airway dynamics in patients undergoing laparoscopic cholecystectomy under general anaesthesia with controlled ventilation using ProSeal laryngeal mask airway, I-Gel\u2122 and Baska mask","volume":"66","author":"Kumar","year":"2022","journal-title":"Indian J Anaesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_755_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:11Z","timestamp":1787837111000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_755_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,17]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_755_24","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,17]]},"assertion":[{"value":"2024-07-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}