Coniotomy

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Coniotomy: Cutting the elastic conus to save life

In medicine, there are various procedures that can help save a patient's life in critical situations. One such procedure is coniotomy, which is performed in cases where it is necessary to ensure the patient's airway is open and to ensure his breathing. In this article we will look at the essence of coniotomy, its application and possible complications.

A coniotomy is a medical procedure in which an incision is made in the conus elasticus, the upper part of the larynx located below the vocal cords. The larynx is an important anatomical structure responsible for airway patency and voice formation. In cases of acute airway obstruction caused, for example, by an allergic reaction, foreign body or tumor, coniotomy may be an emergency measure to keep the patient alive.

The coniotomy procedure is performed using a special instrument called a coniotomy knife. It allows medical personnel to make a vertical cut in the elastic cone, creating an opening through which the patient can breathe. This is a temporary solution that keeps the airway open until more complex and lengthy measures can be taken to restore normal breathing.

Coniotomy may be performed in emergency situations when access to other methods of maintaining breathing is limited or impossible. For example, if a patient has a neck injury, tumor, or other condition that prevents the use of a tracheostomy or intubation, a coniotomy may be a necessary alternative. This procedure can also be performed in the absence of specialists or equipment necessary for more complex manipulations.

It is important to note that coniotomy is a procedure that must be performed by experienced medical personnel under controlled conditions. Improper execution or selection of cases for coniotomy can lead to serious complications such as vascular damage, infection, or bleeding. After a coniotomy, measures must be taken to ensure proper patient care and restoration of normal respiratory function.

In conclusion, coniotomy is an important procedure in medicine to maintain airway patency and keep the patient alive in critical situations. Experienced healthcare professionals should be familiar with this procedure and trained to perform it. Coniotomy can be an emergency life-saving measure, but it must be performed with caution and in accordance with medical standards. It is important to remember that a coniotomy is a temporary solution, and after it is performed, further measures are necessary to restore the patient's normal respiratory function.