In this paper we consider mid-infrared Raman lasers based on gas-filled hollow-core silica fibers and provide theoretical and experimental analysis of factors that limit the efficiency and output power of these lasers. As a result, we realized an efficient ns-pulsed 4.42 {mu}m Raman laser based on an 1H2-filled revolver silica fiber. Quantum efficiency as high as 36 % is achieved, and output average power as high as 250 mW is demonstrated. The possibilities of further improving the laser efficiency are discussed.
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