Evidence map›Paper›PMID 41798447›Full record

ArticleCureus2026

Cost Savings of Using Fluorescein Strips in Laser Laryngoscopy.

Michael P Gebhard, Heather McDougall, Neil N Chheda

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Michael P GebhardOtolaryngology - Head and Neck Surgery, University of Florida College of Medicine, Gainesville, USA.
Heather McDougallOtolaryngology - Head and Neck Surgery, University of Florida College of Medicine, Gainesville, USA.
Neil N ChhedaOtolaryngology - Head and Neck Surgery, University of Florida College of Medicine, Gainesville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This technical report describes a simple, yet novel, approach to endotracheal cuff inflation in laryngological laser surgery that may result in significant cost savings for hospitals and patients. Pricing information was obtained from our tertiary care hospital's operating room pharmacy as of March 3, 2025. A common safety practice when using carbon dioxide (CO2) or potassium titanyl phosphate (KTP) lasers is to fill the endotracheal cuff balloon with normal saline and methylene blue. The cost of the smallest vial of methylene blue is $150.00, and the entire bottle must be discarded after each case. By using fluorescein strips, the cost of this safety measure can be reduced to $0.16. The option of using ophthalmic fluorescein strips is 0.11% of the cost of using methylene blue and effectively brings the cost close to zero. Therefore, by using fluorescein strips, laser laryngeal surgeries can realize a 99.89% savings in the balloon cuff component of the procedure. We propose using fluorescein dye in place of methylene blue for endotracheal cuffs in laser laryngeal surgeries. This change is easy to implement and may result in immediate, significant cost savings for both patients and hospitals.

Indexed as

costfluoresceinlaryngologylasermethylene blue

Identifiers

PMID41798447
PMCPMC12965777

What OpenQuestion holds

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LicenceCC BY
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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.