SlideShare una empresa de Scribd logo

Anesthesia for neurosurgery (zuhura)

•
•
A
AnaestHSNZ
Salud y medicina
1 de 81
ANAESTHESIA FOR NEUROSURGERY ,[object Object]
INTRO ,[object Object],[object Object],[object Object]
Regulation of Cerebral Blood Flow
Cerebral Perfusion Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Autoregulation ,[object Object],[object Object],[object Object],[object Object]
Autoregulation ,[object Object],[object Object],[object Object]
Autoregulation ,[object Object],[object Object],[object Object]
Extrinsic Mechanisms ,[object Object],[object Object],[object Object],[object Object]
Extrinsic Mechanisms ,[object Object],[object Object],[object Object],[object Object]
Extrinsic Mechanism ,[object Object],[object Object],[object Object],[object Object]
Intracranial Pressure
Intracranial Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
AIMS OF ANAESTHETIC MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
COMMON NEUROSURGICAL PROCEDURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANAESTHESIA FOR CRANIOTOMY
Preoperative Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Anaesthetic Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Post-op Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Posterior Fossa Surgery
Anatomy of Posterior Fossa ,[object Object],[object Object],[object Object],[object Object]
Anatomy of Posterior Fossa
The Surgery ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
VENOUS AIR EMBOLISM
INTRO ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Clinical Manifestation ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANAESTHESIA FOR CEREBROVASCULAR SURGERY
INTRO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-Op Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Anaesthetic Management ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

Recomendados

Anaesthesia for neurosurgery
Anaesthesia for neurosurgeryAnaesthesia for neurosurgery
Anaesthesia for neurosurgery
Siti Azila
 
Neurophysiology and Neuroanaesthesia
Neurophysiology and NeuroanaesthesiaNeurophysiology and Neuroanaesthesia
Neurophysiology and Neuroanaesthesia
Anum Anwar
 
Concerns and challenges during anesthetic management of aneurysmal
Concerns and challenges during anesthetic management of aneurysmalConcerns and challenges during anesthetic management of aneurysmal
Concerns and challenges during anesthetic management of aneurysmal
Chamika Huruggamuwa
 
Anaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryAnaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgery
Chamika Huruggamuwa
 
Cerebral physiology and effects of anaesthetic agents
Cerebral physiology and effects of anaesthetic agentsCerebral physiology and effects of anaesthetic agents
Cerebral physiology and effects of anaesthetic agents
Richa Kumar
 
Geriatric anaesthesia
Geriatric anaesthesiaGeriatric anaesthesia
Geriatric anaesthesia
Dr Nandini Deshpande
 
Interscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocksInterscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocks
Davis Kurian
 
Anaesthesia for cardiac patient undergoing non cardiac surgery
Anaesthesia for cardiac patient undergoing non cardiac surgeryAnaesthesia for cardiac patient undergoing non cardiac surgery
Anaesthesia for cardiac patient undergoing non cardiac surgery
Dhritiman Chakrabarti
 

Recomendados

Anaesthesia for neurosurgery
Anaesthesia for neurosurgeryAnaesthesia for neurosurgery
Anaesthesia for neurosurgery
Siti Azila
 
Neurophysiology and Neuroanaesthesia
Neurophysiology and NeuroanaesthesiaNeurophysiology and Neuroanaesthesia
Neurophysiology and Neuroanaesthesia
Anum Anwar
 
Concerns and challenges during anesthetic management of aneurysmal
Concerns and challenges during anesthetic management of aneurysmalConcerns and challenges during anesthetic management of aneurysmal
Concerns and challenges during anesthetic management of aneurysmal
Chamika Huruggamuwa
 
Anaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryAnaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgery
Chamika Huruggamuwa
 
Cerebral physiology and effects of anaesthetic agents
Cerebral physiology and effects of anaesthetic agentsCerebral physiology and effects of anaesthetic agents
Cerebral physiology and effects of anaesthetic agents
Richa Kumar
 
Geriatric anaesthesia
Geriatric anaesthesiaGeriatric anaesthesia
Geriatric anaesthesia
Dr Nandini Deshpande
 
Interscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocksInterscalene & supraclavicular nerve blocks
Interscalene & supraclavicular nerve blocks
Davis Kurian
 
Anaesthesia for cardiac patient undergoing non cardiac surgery
Anaesthesia for cardiac patient undergoing non cardiac surgeryAnaesthesia for cardiac patient undergoing non cardiac surgery
Anaesthesia for cardiac patient undergoing non cardiac surgery
Dhritiman Chakrabarti
 
Postoperative vision loss
Postoperative vision lossPostoperative vision loss
Postoperative vision loss
●๋•αηкιтα madan
 
Intra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Intra cranial pressure and Anaesthesia by Prof. mridul M. PanditraoIntra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Intra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Prof. Mridul Panditrao
 
Anesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostateAnesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostate
Ashish Dhandare
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasm
Chaithanya Malalur
 
Low flow Anaesthesia & Gas Monitoring
Low flow Anaesthesia & Gas MonitoringLow flow Anaesthesia & Gas Monitoring
Low flow Anaesthesia & Gas Monitoring
Kalpesh Shah
 
Anesthesia For Congenital Diaphragmatic Hernia
Anesthesia For Congenital Diaphragmatic HerniaAnesthesia For Congenital Diaphragmatic Hernia
Anesthesia For Congenital Diaphragmatic Hernia
krishna dhakal
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgery
Dhritiman Chakrabarti
 
Pulmonary hypertension and anesthesia
Pulmonary hypertension and anesthesiaPulmonary hypertension and anesthesia
Pulmonary hypertension and anesthesia
Wesam Mousa
 
Anaesthesia for laparoscopy
Anaesthesia for laparoscopy Anaesthesia for laparoscopy
Anaesthesia for laparoscopy
Kiran Rajagopal
 
Intro to Hypoxic pulmonary vasoconstriction
Intro to Hypoxic pulmonary vasoconstriction Intro to Hypoxic pulmonary vasoconstriction
Intro to Hypoxic pulmonary vasoconstriction
Arun Shetty
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic management
Kanika Chaudhary
 
Monitoring depth of anesthesia
Monitoring depth of anesthesiaMonitoring depth of anesthesia
Monitoring depth of anesthesia
Richa Kumar
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA
Kundan Ghimire
 
Caudal anesthesia
Caudal anesthesiaCaudal anesthesia
Caudal anesthesia
Arjun Chhetri
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
Gopan Gopalakrisna Pillai
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesia
dr anurag giri
 
Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension
krishna dhakal
 
Delayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.pptDelayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.ppt
Shaiq Hameed
 
anaesthesia in chronic kidney disease
anaesthesia in chronic kidney diseaseanaesthesia in chronic kidney disease
anaesthesia in chronic kidney disease
sarmistha panigrahi
 
Anesthesia for cerebral aneurysm repair
Anesthesia for cerebral aneurysm repairAnesthesia for cerebral aneurysm repair
Anesthesia for cerebral aneurysm repair
Dhritiman Chakrabarti
 
Management of head trauma in icu
Management of head trauma in icuManagement of head trauma in icu
Management of head trauma in icu
Olubayode Akinbi, M.D
 
Anaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursAnaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial Tumours
Dr.S.N.Bhagirath ..
 

Más contenido relacionado

La actualidad más candente

Intra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Intra cranial pressure and Anaesthesia by Prof. mridul M. PanditraoIntra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Intra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Prof. Mridul Panditrao
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgery
Dhritiman Chakrabarti
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesia
dr anurag giri
 
Anesthesia for cerebral aneurysm repair
Anesthesia for cerebral aneurysm repairAnesthesia for cerebral aneurysm repair
Anesthesia for cerebral aneurysm repair
Dhritiman Chakrabarti
 

La actualidad más candente (20)

Postoperative vision loss
Postoperative vision lossPostoperative vision loss
Postoperative vision loss
 
Intra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Intra cranial pressure and Anaesthesia by Prof. mridul M. PanditraoIntra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
Intra cranial pressure and Anaesthesia by Prof. mridul M. Panditrao
 
Anesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostateAnesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostate
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasm
 
Low flow Anaesthesia & Gas Monitoring
Low flow Anaesthesia & Gas MonitoringLow flow Anaesthesia & Gas Monitoring
Low flow Anaesthesia & Gas Monitoring
 
Anesthesia For Congenital Diaphragmatic Hernia
Anesthesia For Congenital Diaphragmatic HerniaAnesthesia For Congenital Diaphragmatic Hernia
Anesthesia For Congenital Diaphragmatic Hernia
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgery
 
Pulmonary hypertension and anesthesia
Pulmonary hypertension and anesthesiaPulmonary hypertension and anesthesia
Pulmonary hypertension and anesthesia
 
Anaesthesia for laparoscopy
Anaesthesia for laparoscopy Anaesthesia for laparoscopy
Anaesthesia for laparoscopy
 
Intro to Hypoxic pulmonary vasoconstriction
Intro to Hypoxic pulmonary vasoconstriction Intro to Hypoxic pulmonary vasoconstriction
Intro to Hypoxic pulmonary vasoconstriction
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic management
 
Monitoring depth of anesthesia
Monitoring depth of anesthesiaMonitoring depth of anesthesia
Monitoring depth of anesthesia
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA
 
Caudal anesthesia
Caudal anesthesiaCaudal anesthesia
Caudal anesthesia
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesia
 
Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension
 
Delayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.pptDelayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.ppt
 
anaesthesia in chronic kidney disease
anaesthesia in chronic kidney diseaseanaesthesia in chronic kidney disease
anaesthesia in chronic kidney disease
 
Anesthesia for cerebral aneurysm repair
Anesthesia for cerebral aneurysm repairAnesthesia for cerebral aneurysm repair
Anesthesia for cerebral aneurysm repair
 

Similar a Anesthesia for neurosurgery (zuhura)

Icu care after acute head injury
Icu care after acute head injuryIcu care after acute head injury
Icu care after acute head injury
gaganbrar18
 
Anaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionAnaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correction
Naveen Kumar Ch
 

Similar a Anesthesia for neurosurgery (zuhura) (20)

Management of head trauma in icu
Management of head trauma in icuManagement of head trauma in icu
Management of head trauma in icu
 
Anaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursAnaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial Tumours
 
Supra tentorial brain tumor anesthetics management
Supra tentorial brain tumor anesthetics managementSupra tentorial brain tumor anesthetics management
Supra tentorial brain tumor anesthetics management
 
Measurement and management of increased intracranial pressure
Measurement and management of increased intracranial pressureMeasurement and management of increased intracranial pressure
Measurement and management of increased intracranial pressure
 
Cerebral Edema
Cerebral EdemaCerebral Edema
Cerebral Edema
 
Raised intra cranial pressure
Raised intra cranial pressureRaised intra cranial pressure
Raised intra cranial pressure
 
Lecture 1 basic concept on neuroanesthesia 2
Lecture 1 basic concept on neuroanesthesia 2Lecture 1 basic concept on neuroanesthesia 2
Lecture 1 basic concept on neuroanesthesia 2
 
Anesthesia for Neurosurgical Patients.pptx
Anesthesia for Neurosurgical Patients.pptxAnesthesia for Neurosurgical Patients.pptx
Anesthesia for Neurosurgical Patients.pptx
 
TRAUMATIC BRAIN INJURY
TRAUMATIC BRAIN INJURYTRAUMATIC BRAIN INJURY
TRAUMATIC BRAIN INJURY
 
ICP control and CSF drainage - Final.pptx
ICP control and CSF drainage - Final.pptxICP control and CSF drainage - Final.pptx
ICP control and CSF drainage - Final.pptx
 
Anaesthetic management of pheochromocytoma
Anaesthetic management of pheochromocytomaAnaesthetic management of pheochromocytoma
Anaesthetic management of pheochromocytoma
 
Anaesthesia for supratentorial surgeries
Anaesthesia for supratentorial surgeriesAnaesthesia for supratentorial surgeries
Anaesthesia for supratentorial surgeries
 
Anaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiologyAnaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiology
 
Icu care after acute head injury
Icu care after acute head injuryIcu care after acute head injury
Icu care after acute head injury
 
Management of Raised Intracranial Pressure
Management of Raised Intracranial PressureManagement of Raised Intracranial Pressure
Management of Raised Intracranial Pressure
 
Anaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionAnaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correction
 
Cerebral protection
Cerebral protectionCerebral protection
Cerebral protection
 
Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesia
 
Head Trauma & ICP. SURGICAL AND MEDICAL MANAGEMENT OF
Head Trauma & ICP. SURGICAL AND MEDICAL MANAGEMENT OFHead Trauma & ICP. SURGICAL AND MEDICAL MANAGEMENT OF
Head Trauma & ICP. SURGICAL AND MEDICAL MANAGEMENT OF
 
Drihabsuliman
DrihabsulimanDrihabsuliman
Drihabsuliman
 

Más de AnaestHSNZ

Non conventional ventilator modes
Non conventional ventilator modesNon conventional ventilator modes
Non conventional ventilator modes
AnaestHSNZ
 
Anaesthesia for elective neurosurgery journal (zuhura)
Anaesthesia for elective neurosurgery journal (zuhura)Anaesthesia for elective neurosurgery journal (zuhura)
Anaesthesia for elective neurosurgery journal (zuhura)
AnaestHSNZ
 
Guidelines mng hemophilia
Guidelines mng hemophiliaGuidelines mng hemophilia
Guidelines mng hemophilia
AnaestHSNZ
 
Mmr presentation anaesth
Mmr presentation anaesthMmr presentation anaesth
Mmr presentation anaesth
AnaestHSNZ
 
La toxicity 2010_0
La toxicity 2010_0La toxicity 2010_0
La toxicity 2010_0
AnaestHSNZ
 
Disorder of ca metabolism
Disorder of ca metabolismDisorder of ca metabolism
Disorder of ca metabolism
AnaestHSNZ
 
One lung ventilation kweq part 1
One lung ventilation kweq part 1One lung ventilation kweq part 1
One lung ventilation kweq part 1
AnaestHSNZ
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
AnaestHSNZ
 
Anaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulant
AnaestHSNZ
 

Más de AnaestHSNZ (11)

Non conventional ventilator modes
Non conventional ventilator modesNon conventional ventilator modes
Non conventional ventilator modes
 
Mmr03032011
Mmr03032011Mmr03032011
Mmr03032011
 
Anaesthesia for elective neurosurgery journal (zuhura)
Anaesthesia for elective neurosurgery journal (zuhura)Anaesthesia for elective neurosurgery journal (zuhura)
Anaesthesia for elective neurosurgery journal (zuhura)
 
Guidelines mng hemophilia
Guidelines mng hemophiliaGuidelines mng hemophilia
Guidelines mng hemophilia
 
Hemophilia
HemophiliaHemophilia
Hemophilia
 
Mmr presentation anaesth
Mmr presentation anaesthMmr presentation anaesth
Mmr presentation anaesth
 
La toxicity 2010_0
La toxicity 2010_0La toxicity 2010_0
La toxicity 2010_0
 
Disorder of ca metabolism
Disorder of ca metabolismDisorder of ca metabolism
Disorder of ca metabolism
 
One lung ventilation kweq part 1
One lung ventilation kweq part 1One lung ventilation kweq part 1
One lung ventilation kweq part 1
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
 
Anaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulant
 

Último

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
Arohi Goyal
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
Taniya Sharma
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
tanya dube
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Genuine Call Girls
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
perfect solution
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
discovermytutordmt
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
narwatsonia7
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Dipal Arora
 
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
aartirawatdelhi
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
narwatsonia7
 

Último (20)

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 

Anesthesia for neurosurgery (zuhura)