Evidence map›Paper›PMID 40673625›Full record

ArticleThe Laryngoscope2025

Redefining Safe Practices in Airway TruBlue Laser Surgery-A Systematic Evaluation.

Ariel Roitman, Marcus Wilson, Andrew J Bowen, Kristopher M Schroeder, Susan L Thibeault, Seth H Dailey

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ariel RoitmanDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0001-5080-0522
Marcus WilsonDepartment of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Andrew J BowenDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Kristopher M SchroederDepartment of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Susan L ThibeaultDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Seth H DaileyDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID 0000-0002-3299-3014

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFire risk during laser airway surgery is well-documented, but there is limited information regarding this risk with the novel TruBlue laser. This study evaluates its safety under different experimental conditions.

methodsUsing a cadaveric porcine larynx and lungs model, we conducted trials with laser-safe endotracheal tubes (LSETTs), high-flow ventilation (HFV), and jet ventilation. We varied distance, FiO

resultsLSETT trials showed no fire events. Pledget fires were the only uncontrolled fires in HFV, at 100%, 70%, and 50% FiO

conclusionUsing the TruBlue laser with a fully inflated LSETT cuff positioned at least 0.3 cm below the operating area while delivering 100% oxygen was consistently safe in our trials. Uncontrolled fires occurred only when targeting a pledget under HFV, confirming extrinsic fuel as the main risk and highlighting the safety of the TruBlue laser with HFV and jet ventilation in its absence. Compared to HFV, jet ventilation trials showed a higher frequency of brief flames and sparks. A 60-s continuous application of the laser at 100% FiO LEVEL OF EVIDENCE: NA.

Indexed as

FiresLarynxLaser TherapyAnimalsCadaverHigh-Frequency Jet VentilationIntubation, IntratrachealSwineairway surgeryexperimental studyFiO2 limitfire riskmicrolaryngoscopyporcine laryngeal modelTruBlue laser

Identifiers

PMID40673625
PMCPMC12706535

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.