Coniotomy

Coniotomy and coniopuncture (also called cricothyrotomy) are procedures performed to urgently secure an airway in a situation where other measurements have failed or are not available. They are not intended for a long-term securing of the airway. They are rarely performed, however, potentially life-saving procedures.

The core of the procedure is to cut through (coniotomy) or puncture through (coniopuncture) the lig. cricothyroideum (lig. conicum) and following insertion of a tube to enable securing an airway. Coniotomy and coniopuncture are easy (the ligament is usually easily accessible), quick and with minimal technical requirements for the procedure and equipment to be performed.

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