Baska Mask Testimonials

Dr Ramkumar Dhanasekaran MD, Associate Professor & Consultant, Department of Anesthesiology, Critical Care & Pain Medicine, Sri Ramachandra Medical College & Research Institute, Sri Ramachandra University, Chennai, India.

Having used the first and the second generation SGADs over the years, I was in search of a newer SGAD that would supersede all the currently available SGADs by overcoming their demerits. A device that would consistently have a higher oropharyngeal leak pressure (>30 em of H20) in order to avoid gastric insufflation and subsequent regurgitation leading to aspiration especially in major laparoscopic surgeries and also in emergency settings.

When I learnt about the Baska Mask and it's intended uses, I started using them in various Laparoscopic surgeries especially with considerable head down tilt, Nasal Endoscopic surgical procedures such as FESS with Septoplasty and also in Orthopaedic procedures in the day care settings.

I have no doubt that the Baska Mask and Baska FESS Mask would be a perfect choice for the above mentioned procedures, having used on 80 patients.

I am impressed with its unique self 'Sealing Mechanism' of its membranous cuff; ingeniously designed sump cavity on its dorsal aspect which in combination enables the delivery of consistent high intermittent positive pressure ventilation.

Though I had insertion problems in few patients in the initial stages, my success rate is close to 95% currently with an insertion duration of 10 seconds, achieving oropharyngeal leak pressure of >35cm of H20 (with a maximum of 47cm H20).

Visualizing through a FOB during its use, the entire glottis can be seen engulfed by the soft membranous medial cuff, which gets inflated proportionately with increase in airway pressure in majority of patients.

There are other salient features such as the suction and vent (Gastric Tubes) positioned on either side of the oval shaped stem with inbuilt bite block all along (hard enough to prevent a kink but soft enough for the surrounding structures). With a suction elbow attached to the device enables a continuous high pressure suction clearance of the unwanted pharyngeal contents that helps prevent aspiration. The tab available on the device enables insertion with ease in fixed neck conditions and finally the device is also a see through one and made out of transparent silicone material.

The Baska FESS Mask has been invented with a rare insight and designed as an ideal SGAD for Functional Endoscopic Sinus Surgery with all unique features in one device with relatively shorter shaft and detachable 15mm curved connector making surgical access easier. Having used it in many nasal endoscopic surgeries, I would say that Baska FESS Mask is the only available SGAD that can be safely used in airway sharing surgeries with minimal perioperative airway morbidity.

For the beginners the device insertion difficulty score could be initially high. Once the key concept of liberal lubrication of its mask part and also the patient's lips is done, with insertion at adequate depth of anaesthesia avoiding pulling of the lower jaw, the difficulty rate can be easily minimized.

I appreciate the valuable contribution the Baska Mask and the Baska FESS Mask has made in the field of SGA management in Anaesthesia and I would rate Baska Mask as the 3rd Generation SGA better than 'Excellent'.

Dr Ramkumar Dhanasekaran MD Product Testimonial

Professor Andre van Zundert

I have used the Baska Mask in manikins and in 50 patients undergoing surgical operations. The Baska Mask performs well in clinical situations in accordance with the intended purpose. It differs from the LMA-Classic (first generation laryngeal mask) that it has two additional tubes to clear the sump cavity of any unwanted materials in the pharynx when a high suction attached to any one of the sides tubes. It also differs in design with the presence of an expandable membrane that makes the mask achieve a better seal for ventilation that no other airways currently in use can deliver. It has a pulling Tab that is of great advantage to facilitate easy insertion in comparison to other airways.

Professor Andre van Zundert

Dr Kaul, HOD Anaesthesiology, Khoula Hospital

This clinical lecture cum demonstration lasted for four hours. All the members appreciated the skills and usefulness of this device. It was unanimously felt that this device is far superior to the existing supra-glottic devices in terms of ease of insertion, better toleration of positive pressure ventilation, easy suctioning, its atraumatic placement and ease of removal. This device would certainly be a welcome addition in the airway armamentarium of Khoula Hospital and its ICU.

Dr Kaul, HOD Anaesthesiology, Khoula Hospital

Roberto García-Aguado MD, PhD. Consorcio Hospital General Universitario of Valencia, Spain

I am really pleased to collaborate with you in spreading your new laryngeal mask.

I used the Baska Mask with about 35 patients, including advanced uses, such as laparoscopic cholecystectomy or obese patients.

First, it is highly surprising its ability to deliver large volumes tidal.

On the other hand by its original design provides a great security against the eventual regurgitation. The two large drainage tubes are two times bigger than the current reference laryngeal masks. In addition, by its genuine configuration, makes virtually impossible both an obstruction and a malposition of the tip.

Regarding the leakage pressure Baska Mask achieves a high-pressure sealing, corresponding to an average that overcomes 30 cm of water (even reaching 49 cm of water).

The less satisfactory aspect is related to the success of the first attempt insertion. According to bibliography, about 20% of our cases required adjustments and occasionally a second attempt.

In my opinion there are few reasons that could explain this fact.

Firstly, we have the need of careful choice of size due to the lack of inflatable cuff.

Then, and the most important, since the insertion process is slightly more laborious than Supreme LM, it is advisable to take special care with the anaesthetic level during the insertion process. If the previously mentioned consideration is not taken into account, it is possible that the first test concerning the functionality of Baska Mask will be performed in a patient who is under light anaesthesia.

In conclusion, I think the Baska Mask is an excellent supraglottic device, in fact, provides a significant improvement of current laryngeal masks. Regarding the insertion is assumed that better results will be achieved when the learning curve will have been overcome.

With kind regards,
Roberto García-Aguado MD, PhD

Letter Head of Ambulatory Anaesthesia, Consorcio Hospital General Universitario of Valencia, Spain