Coniotomy, a Life-Saving Emergency Measure

  • Dietmar ThurnherEmail author


The coniotomy is a potentially life-saving measure in a “can’t intubate, can’t ventilate” situation. In order to provide security in an emergency, the advantages and disadvantages of the current methods as a surgical approach or with needle catheter systems based on Seldinger techniques are presented in a detailed description and classification along the current guidelines. Specific anatomical features in relation to coniotomy are taught and indications and contraindications are dealt with. The reader is familiarized with different methods of the step-by-step procedure. From an interdisciplinary point of view, the chapter provides both beginners and experienced surgeons with an orientation aid between possible complications of a coniotomy and the avoidance of suffocation thanks to successful surgical performance.


Coniotomy Anatomy Methods Indication Complication 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology - Head and Neck SurgeryMedical University of GrazGrazAustria

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