SlideShare a Scribd company logo

Icu Emergency Airway Management

•Download as PPT, PDF•
•
A
Andrew Ferguson
Health & MedicineEducation
1 of 55
ICU Emergency AIRWAY MANAGEMENT Dalhousie Critical Care Lecture Series
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case History ,[object Object],[object Object],[object Object],[object Object],[object Object]
Airway Anatomy….
Airway Exam ,[object Object]
Airway Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]
Airway Anatomy….
 
Airway Exam ,[object Object],[object Object],[object Object]
Cormack-Lehane Laryngeal View
Definition Minimal Sedation -Anxiolysis Conscious sedation is the use of medication to minimally depress the LOC in a patient while allowing the patient to continually and independently maintain a patent A/W and respond appropriately to verbal commands or gentle stimulation. Chet Wyman, University of Maryland School of Medicine
Sedatives In The Ideal World ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],There are no drugs available which achieve these ideals!
Midazolam (Versed®) ,[object Object],[object Object],[object Object]
Midazolam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fentanyl ,[object Object],[object Object],[object Object],[object Object]
Fentanyl ,[object Object],[object Object],[object Object],[object Object],[object Object]
Etomidate ,[object Object],[object Object],[object Object],[object Object]
Etomidate ,[object Object],[object Object],[object Object],[object Object],[object Object]
Topical Anesthesia Each spray = 10 mg of lidocaine Maximum dose = 5 mg/kg i.e. for 70 kg patient =35 sprays!
3 sprays of lidocaine to each location + 3 sprays behind tongue
Airway Management
4 Questions ,[object Object],[object Object],[object Object],[object Object],Murphy et al CJA 2005 52:3
Basic Airway Management ,[object Object],[object Object],[object Object],[object Object]
OPA ,[object Object],[object Object],[object Object]
NPA ,[object Object],[object Object],[object Object]
Mask Ventilation Requires … ,[object Object],[object Object],[object Object],[object Object],[object Object]
2 Handed BVM
Difficult Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hung and Murphy CJA 2004 51:10
Can I ventilate this patient ?? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Predictors of Difficult Intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Merah NA et al CJA 2005 52
Can’t Intubate/Can’t Ventilate or Holy *@#& Phenomenon ,[object Object],[object Object],Benumof JL Airway Management Principles and Practice 1996:124.
Time to intubate . . . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Position Your Patient ,[object Object],[object Object],[object Object]
What Size Endotracheal Tube ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What Laryngoscope ?
Laryngoscopy
Intubation Confirmation ! ,[object Object],[object Object],[object Object]
 
Airway Adjuncts
Cricoid Pressure ,[object Object],[object Object],[object Object]
Laryngeal Mask Airway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Bougie ,[object Object],[object Object],[object Object]
Special Cases ,[object Object],[object Object],[object Object],[object Object]
Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object]
Positioning Obese Patients The blue axis = ear to manubrium should be level
Rheumatoid Arthritis ,[object Object],[object Object],[object Object],[object Object]
C1 and C2 Anatomy
 
Head and Neck Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Head and neck masses Epiglottis Glottic opening Supraglottic mass
C-spine Trauma ,[object Object],[object Object],[object Object]
In-line Stabilization
What about the Patient with Pneumonia? ,[object Object]
Answer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommended

Airway management in Critical Care
Airway management in Critical CareAirway management in Critical Care
Airway management in Critical CarescanFOAM
 
Breathing circuit's
Breathing circuit'sBreathing circuit's
Breathing circuit'sImran Sheikh
 
Intravenous Induction agents
Intravenous Induction agentsIntravenous Induction agents
Intravenous Induction agentssumanth reddy
 
End tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoringEnd tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoringAntara Banerji
 
Extubation protocol in the OR and ICU
Extubation protocol in the OR and ICUExtubation protocol in the OR and ICU
Extubation protocol in the OR and ICURalekeOkoye
 
Difficult airway
Difficult airwayDifficult airway
Difficult airwayimran80
 
Capnography
CapnographyCapnography
Capnographylarryide
 
Initiation of mechanical ventilation and weaning
Initiation of mechanical ventilation and weaningInitiation of mechanical ventilation and weaning
Initiation of mechanical ventilation and weaningmauryaramgopal
 

Recommended

Airway management in Critical Care
Airway management in Critical CareAirway management in Critical Care
Airway management in Critical CarescanFOAM
 
Breathing circuit's
Breathing circuit'sBreathing circuit's
Breathing circuit'sImran Sheikh
 
Intravenous Induction agents
Intravenous Induction agentsIntravenous Induction agents
Intravenous Induction agentssumanth reddy
 
End tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoringEnd tidal co2 and transcutaneous monitoring
End tidal co2 and transcutaneous monitoringAntara Banerji
 
Extubation protocol in the OR and ICU
Extubation protocol in the OR and ICUExtubation protocol in the OR and ICU
Extubation protocol in the OR and ICURalekeOkoye
 
Difficult airway
Difficult airwayDifficult airway
Difficult airwayimran80
 
Capnography
CapnographyCapnography
Capnographylarryide
 
Initiation of mechanical ventilation and weaning
Initiation of mechanical ventilation and weaningInitiation of mechanical ventilation and weaning
Initiation of mechanical ventilation and weaningmauryaramgopal
 
Recruitment maneuvers in ards
Recruitment maneuvers in ardsRecruitment maneuvers in ards
Recruitment maneuvers in ardsAnusha Jahagirdar
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA Kundan Ghimire
 
Et co2
Et co2Et co2
Et co2Vijay Anand
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic managementKanika Chaudhary
 
Capnography
CapnographyCapnography
Capnographydjorgenmorris
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasmChaithanya Malalur
 
Fibre optic bronchoscopy
Fibre optic bronchoscopyFibre optic bronchoscopy
Fibre optic bronchoscopySaswat Subhankar
 
Pre-oxygenation
Pre-oxygenationPre-oxygenation
Pre-oxygenationSCGH ED CME
 
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATEANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATEmadhu chaitanya
 
Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Ashwin Haridas
 
Airway Management
Airway ManagementAirway Management
Airway ManagementReza Aminnejad
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its managementDr Kumar
 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway deviceDebojyoti Dutta
 
Low flow anaesthesia
Low flow anaesthesiaLow flow anaesthesia
Low flow anaesthesiaZIKRULLAH MALLICK
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAPARNA SAHU
 
Intravenous induction agents
Intravenous induction agentsIntravenous induction agents
Intravenous induction agentsanaesthesiology-mgmcri
 
Airway management
Airway managementAirway management
Airway managementmirshafat
 
Bronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesBronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesDhritiman Chakrabarti
 
Airway management
Airway managementAirway management
Airway managementShailendra Veerarajapura
 
Oxygen cascade & therapy
Oxygen cascade & therapyOxygen cascade & therapy
Oxygen cascade & therapyDr. Taraknath Chatterjee
 
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...Bassel Ericsoussi, MD
 
Airway Management
Airway ManagementAirway Management
Airway ManagementMaged Hassan
 

More Related Content

What's hot

Recruitment maneuvers in ards
Recruitment maneuvers in ardsRecruitment maneuvers in ards
Recruitment maneuvers in ardsAnusha Jahagirdar
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA Kundan Ghimire
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic managementKanika Chaudhary
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasmChaithanya Malalur
 
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATEANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATEmadhu chaitanya
 
Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Ashwin Haridas
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its managementDr Kumar
 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway deviceDebojyoti Dutta
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAPARNA SAHU
 
Airway management
Airway managementAirway management
Airway managementmirshafat
 
Bronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesBronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesDhritiman Chakrabarti
 

What's hot (20)

Recruitment maneuvers in ards
Recruitment maneuvers in ardsRecruitment maneuvers in ards
Recruitment maneuvers in ards
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA
 
Et co2
Et co2Et co2
Et co2
 
Copd and anaesthetic management
Copd and anaesthetic managementCopd and anaesthetic management
Copd and anaesthetic management
 
Capnography
CapnographyCapnography
Capnography
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasm
 
Fibre optic bronchoscopy
Fibre optic bronchoscopyFibre optic bronchoscopy
Fibre optic bronchoscopy
 
Pre-oxygenation
Pre-oxygenationPre-oxygenation
Pre-oxygenation
 
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATEANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
ANESTHESIA MANAGEMENT OF CLEFT LIP & PALATE
 
Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia Management of Bronchospasm during General Anaesthesia
Management of Bronchospasm during General Anaesthesia
 
Airway Management
Airway ManagementAirway Management
Airway Management
 
Extubation problems and its management
Extubation problems and its managementExtubation problems and its management
Extubation problems and its management
 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway device
 
Low flow anaesthesia
Low flow anaesthesiaLow flow anaesthesia
Low flow anaesthesia
 
Airway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implicationAirway anatomy its assessment and anaesthetic implication
Airway anatomy its assessment and anaesthetic implication
 
Intravenous induction agents
Intravenous induction agentsIntravenous induction agents
Intravenous induction agents
 
Airway management
Airway managementAirway management
Airway management
 
Bronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubesBronchial blockers & endobronchial tubes
Bronchial blockers & endobronchial tubes
 
Airway management
Airway managementAirway management
Airway management
 
Oxygen cascade & therapy
Oxygen cascade & therapyOxygen cascade & therapy
Oxygen cascade & therapy
 

Viewers also liked

ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...Bassel Ericsoussi, MD
 
Power point airway management
Power point airway managementPower point airway management
Power point airway managementStephen Collins
 
Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016Shahnaali
 
Emergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-CEmergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-Cmarkpbrady
 
2012 airway management
2012 airway management2012 airway management
2012 airway managementDanny Castro
 
Drugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICUDrugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICUAndrew Ferguson
 
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...MTD Lakshan
 
Icu design and infrastructure
Icu design and infrastructureIcu design and infrastructure
Icu design and infrastructureSaurabh Debnath
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Managementparamedicbob
 
Concept Of Critical Care
Concept Of Critical CareConcept Of Critical Care
Concept Of Critical Carejas sodhI
 
upper & lower airway obstruction
upper & lower airway obstructionupper & lower airway obstruction
upper & lower airway obstructionRamya Deepthi P
 
Management protools in icu
Management protools in icuManagement protools in icu
Management protools in icuSurendra Patel
 
Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.
Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.
Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.dharmendra raval
 
Tracheostomy ent indications procedure complications ppt
Tracheostomy ent indications procedure complications pptTracheostomy ent indications procedure complications ppt
Tracheostomy ent indications procedure complications pptTONY SCARIA
 

Viewers also liked (20)

ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
ADVANCED AIRWAY MANAGEMENT IN THE INTENSIVE CARE UNIT: FUNDAMENTALS OF INTUBA...
 
Airway Management
Airway ManagementAirway Management
Airway Management
 
Airway Management
Airway ManagementAirway Management
Airway Management
 
Power point airway management
Power point airway managementPower point airway management
Power point airway management
 
Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016
 
Emergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-CEmergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-C
 
2012 airway management
2012 airway management2012 airway management
2012 airway management
 
Drugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICUDrugs against bugs - antibiotics in the ICU
Drugs against bugs - antibiotics in the ICU
 
Airway anatomy
Airway anatomy Airway anatomy
Airway anatomy
 
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...
 
Icu design and infrastructure
Icu design and infrastructureIcu design and infrastructure
Icu design and infrastructure
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Management
 
Concept Of Critical Care
Concept Of Critical CareConcept Of Critical Care
Concept Of Critical Care
 
upper & lower airway obstruction
upper & lower airway obstructionupper & lower airway obstruction
upper & lower airway obstruction
 
Management protools in icu
Management protools in icuManagement protools in icu
Management protools in icu
 
Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.
Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.
Acute and critical care, IN NURSING, MANAGEMENT OF CLIENT IN ICU.
 
Common ENT emergencies
Common ENT emergenciesCommon ENT emergencies
Common ENT emergencies
 
Tracheostomy
TracheostomyTracheostomy
Tracheostomy
 
Tracheostomy
TracheostomyTracheostomy
Tracheostomy
 
Tracheostomy ent indications procedure complications ppt
Tracheostomy ent indications procedure complications pptTracheostomy ent indications procedure complications ppt
Tracheostomy ent indications procedure complications ppt
 

Similar to Icu Emergency Airway Management

AirwayEmergencyManagement.ppt
AirwayEmergencyManagement.pptAirwayEmergencyManagement.ppt
AirwayEmergencyManagement.pptRazaChaudhary4
 
Rapid Sequence Intubation
Rapid Sequence IntubationRapid Sequence Intubation
Rapid Sequence IntubationEric Wilke
 
Initial assessment of the trauma patient
Initial assessment of the trauma patientInitial assessment of the trauma patient
Initial assessment of the trauma patientDang Thanh Tuan
 
SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma Rahul Goswami
 
Dr radhey shyam(polytrauma management)
Dr radhey shyam(polytrauma management)Dr radhey shyam(polytrauma management)
Dr radhey shyam(polytrauma management)rsd8106
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesiaSumit Prajapati
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural SedationSCGH ED CME
 
Problem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric AnesthesiaProblem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric Anesthesiacairo1957
 
Anesthesia for spine surgery
Anesthesia for spine surgeryAnesthesia for spine surgery
Anesthesia for spine surgeryAshraf Abdulhalim
 
The difficult extubation
The difficult extubationThe difficult extubation
The difficult extubationwanted1361
 
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayRecognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayDr. Shaheer Haider
 
Anesthesia_for_the_Trauma_Patient.pptx
Anesthesia_for_the_Trauma_Patient.pptxAnesthesia_for_the_Trauma_Patient.pptx
Anesthesia_for_the_Trauma_Patient.pptxKMMI2
 
Extubation from Ventilator
Extubation from VentilatorExtubation from Ventilator
Extubation from VentilatorFarhan Shaikh
 
How do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxHow do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxchandra talur
 

Similar to Icu Emergency Airway Management (20)

AirwayEmergencyManagement.ppt
AirwayEmergencyManagement.pptAirwayEmergencyManagement.ppt
AirwayEmergencyManagement.ppt
 
Advanced airway
Advanced airwayAdvanced airway
Advanced airway
 
Rapid Sequence Intubation
Rapid Sequence IntubationRapid Sequence Intubation
Rapid Sequence Intubation
 
Initial assessment of the trauma patient
Initial assessment of the trauma patientInitial assessment of the trauma patient
Initial assessment of the trauma patient
 
Trauma lecture
Trauma lectureTrauma lecture
Trauma lecture
 
SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma SEMS 2014: Ang Shiang Hu - Life threatening asthma
SEMS 2014: Ang Shiang Hu - Life threatening asthma
 
Dr radhey shyam(polytrauma management)
Dr radhey shyam(polytrauma management)Dr radhey shyam(polytrauma management)
Dr radhey shyam(polytrauma management)
 
Administration of general anesthesia
Administration of general anesthesiaAdministration of general anesthesia
Administration of general anesthesia
 
Procedural Sedation
Procedural SedationProcedural Sedation
Procedural Sedation
 
Trauma anaesthesia dr.abhishek
Trauma anaesthesia dr.abhishekTrauma anaesthesia dr.abhishek
Trauma anaesthesia dr.abhishek
 
Problem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric AnesthesiaProblem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric Anesthesia
 
Anesthesia for spine surgery
Anesthesia for spine surgeryAnesthesia for spine surgery
Anesthesia for spine surgery
 
Advance trauma life support (atls)
Advance trauma life support (atls)Advance trauma life support (atls)
Advance trauma life support (atls)
 
The difficult extubation
The difficult extubationThe difficult extubation
The difficult extubation
 
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayRecognition And Management Of Difficult Airway
Recognition And Management Of Difficult Airway
 
Anesthesia_for_the_Trauma_Patient.pptx
Anesthesia_for_the_Trauma_Patient.pptxAnesthesia_for_the_Trauma_Patient.pptx
Anesthesia_for_the_Trauma_Patient.pptx
 
Extubation
Extubation Extubation
Extubation
 
Extubation from Ventilator
Extubation from VentilatorExtubation from Ventilator
Extubation from Ventilator
 
How do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxHow do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptx
 
Procedural sedation 1
Procedural sedation 1Procedural sedation 1
Procedural sedation 1
 

More from Andrew Ferguson

Role modelling in medical education
Role modelling in medical educationRole modelling in medical education
Role modelling in medical educationAndrew Ferguson
 
Positive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsPositive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsAndrew Ferguson
 
Focused thoracic ultrasound
Focused thoracic ultrasoundFocused thoracic ultrasound
Focused thoracic ultrasoundAndrew Ferguson
 
The CHEST trial - HES in the ICU
The CHEST trial - HES in the ICUThe CHEST trial - HES in the ICU
The CHEST trial - HES in the ICUAndrew Ferguson
 
Chest radiology in intensive care
Chest radiology in intensive careChest radiology in intensive care
Chest radiology in intensive careAndrew Ferguson
 
Perioperative acute kidney injury
Perioperative acute kidney injuryPerioperative acute kidney injury
Perioperative acute kidney injuryAndrew Ferguson
 
Pathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failurePathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failureAndrew Ferguson
 
Perioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisPerioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisAndrew Ferguson
 
Pulmonary hypertension and the Intensivist
Pulmonary hypertension and the IntensivistPulmonary hypertension and the Intensivist
Pulmonary hypertension and the IntensivistAndrew Ferguson
 
Intravenous Anaesthetics
Intravenous AnaestheticsIntravenous Anaesthetics
Intravenous AnaestheticsAndrew Ferguson
 
Renal replacement therapy in intensive care
Renal replacement therapy in intensive careRenal replacement therapy in intensive care
Renal replacement therapy in intensive careAndrew Ferguson
 
Predicting fluid response in the ICU
Predicting fluid response in the ICUPredicting fluid response in the ICU
Predicting fluid response in the ICUAndrew Ferguson
 
ICU topics for Final FRCA
ICU topics for Final FRCAICU topics for Final FRCA
ICU topics for Final FRCAAndrew Ferguson
 
Subarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and VasospasmSubarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and VasospasmAndrew Ferguson
 
Grand Rounds November 2009
Grand Rounds November 2009Grand Rounds November 2009
Grand Rounds November 2009Andrew Ferguson
 
Fluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive TransfusionFluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive TransfusionAndrew Ferguson
 
Preoperative Assessment (Intro)
Preoperative Assessment (Intro)Preoperative Assessment (Intro)
Preoperative Assessment (Intro)Andrew Ferguson
 

More from Andrew Ferguson (20)

Biomarkers in sepsis
Biomarkers in sepsisBiomarkers in sepsis
Biomarkers in sepsis
 
Role modelling in medical education
Role modelling in medical educationRole modelling in medical education
Role modelling in medical education
 
Positive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsPositive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilators
 
Focused thoracic ultrasound
Focused thoracic ultrasoundFocused thoracic ultrasound
Focused thoracic ultrasound
 
The CHEST trial - HES in the ICU
The CHEST trial - HES in the ICUThe CHEST trial - HES in the ICU
The CHEST trial - HES in the ICU
 
Ultrasound
UltrasoundUltrasound
Ultrasound
 
Chest radiology in intensive care
Chest radiology in intensive careChest radiology in intensive care
Chest radiology in intensive care
 
Perioperative acute kidney injury
Perioperative acute kidney injuryPerioperative acute kidney injury
Perioperative acute kidney injury
 
Pathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failurePathophysiology of hypoxic respiratory failure
Pathophysiology of hypoxic respiratory failure
 
Perioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and HaemostasisPerioperative Optimisation of Coagulation and Haemostasis
Perioperative Optimisation of Coagulation and Haemostasis
 
Pulmonary hypertension and the Intensivist
Pulmonary hypertension and the IntensivistPulmonary hypertension and the Intensivist
Pulmonary hypertension and the Intensivist
 
Intravenous Anaesthetics
Intravenous AnaestheticsIntravenous Anaesthetics
Intravenous Anaesthetics
 
Renal replacement therapy in intensive care
Renal replacement therapy in intensive careRenal replacement therapy in intensive care
Renal replacement therapy in intensive care
 
Predicting fluid response in the ICU
Predicting fluid response in the ICUPredicting fluid response in the ICU
Predicting fluid response in the ICU
 
ICU topics for Final FRCA
ICU topics for Final FRCAICU topics for Final FRCA
ICU topics for Final FRCA
 
Subarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and VasospasmSubarachnoid hemorrhage and Vasospasm
Subarachnoid hemorrhage and Vasospasm
 
Grand Rounds November 2009
Grand Rounds November 2009Grand Rounds November 2009
Grand Rounds November 2009
 
Orientation To The Icu
Orientation To The IcuOrientation To The Icu
Orientation To The Icu
 
Fluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive TransfusionFluid Resuscitation And Massive Transfusion
Fluid Resuscitation And Massive Transfusion
 
Preoperative Assessment (Intro)
Preoperative Assessment (Intro)Preoperative Assessment (Intro)
Preoperative Assessment (Intro)
 

Recently uploaded

Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Sheetaleventcompany
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Sheetaleventcompany
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...Sheetaleventcompany
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...Sheetaleventcompany
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 

Recently uploaded (20)

Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 

Icu Emergency Airway Management