Conicotomy
Last reviewed: 23.04.2024
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Conicotomy (cryotyreotomy) consists in the opening of the peristonechitis membrane with the impossibility of intubation of the trachea or the presence of obstruction in the larynx. The main advantages of this method are the simplicity of technical performance and the speed of execution (in comparison with tracheostomy). In some cases, the patency of the airways is achieved by puncturing the peristonchitis membrane with a thick needle (puncture conicotomy).
For the speed and ease of conicotomy, special kits and devices are created. The set includes a scalpel with a limited length of the blade, a plastic introducer, a cannula with a diameter of 4 mm without a cuff, a sanation catheter, a 15 mm connector for connection to the ventilator and a tape to fix the cannula. Such devices allow you to install the cannula in the lumen of the trachea without loss of time and minimal risk of complications.
The needle of the conicotom with a search probe and indicator chamber allows you to monitor all stages of manipulation, preventing damage to the tracheal posterior wall.
To simplify and increase safety during a procedure such as conicotomy, a dilated tracheostomy technique has been developed. It is proposed as an alternative to the classical surgical technique and is characterized by maximum atraumaticity, simple technique and speed in execution.
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