The novel Illuminated Tracheal Alignment Guide (iTAG) device and technique is the first of our knowledge to test the identification of tracheostomy sites by way of laser-guided transillumination.

We believe this device represents a promising advancement and widespread adoption of the iTAG has the potential to provide enhanced safety, procedural confidence, and expanded patient candidacy.

Further research and broader clinical adoption will be critical in establishing the iTAG method as the preferred approach for percutaneous tracheostomy (PT).

From January 2023 to July 2024, 30 patients underwent PT using the iTAG device. The mean time from intubation to tracheostomy was 15.53 days, with a mean ICU length of stay of 31.14 days.

The iTAG group experienced significantly fewer early complications compared with the historical ST control group, including reduced hemorrhage, and there were no instances of tracheal ring fracture, posterior wall injury, or pneumothorax.

The iTAG method allowed for safe PT in all patients.

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