SlideShare ist ein Scribd-Unternehmen logo
1 von 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

Weitere ähnliche Inhalte

Was ist angesagt?

Delayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.pptDelayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.pptShaiq Hameed
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA Kundan Ghimire
 
Anesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgeryAnesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgeryDhritiman Chakrabarti
 
Anaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryAnaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryChamika Huruggamuwa
 
Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Simon Richard
 
Patient positioning and anaesthetic consideration
Patient positioning and anaesthetic considerationPatient positioning and anaesthetic consideration
Patient positioning and anaesthetic considerationIqraa Khanum
 
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 surgeryDhritiman Chakrabarti
 
Brain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ DonationBrain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ DonationRanjith Thampi
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesiadr anurag giri
 
Anaesthesia for spine surgery
Anaesthesia for spine surgeryAnaesthesia for spine surgery
Anaesthesia for spine surgeryAsi-oqua Bassey
 
Neuromuscular Monitoring
Neuromuscular MonitoringNeuromuscular Monitoring
Neuromuscular MonitoringMohtasib Madaoo
 
Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesiaDr Kumar
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasmChaithanya Malalur
 

Was ist angesagt? (20)

Delayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.pptDelayed recovery from anaesthesia.ppt
Delayed recovery from anaesthesia.ppt
 
Geriatric anaesthesia
Geriatric anaesthesiaGeriatric anaesthesia
Geriatric anaesthesia
 
Anesthesia for bariatric surgery
Anesthesia for bariatric surgeryAnesthesia for bariatric surgery
Anesthesia for bariatric surgery
 
NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA NON OPERATING ROOM ANAESTHESIA
NON OPERATING ROOM ANAESTHESIA
 
Anaesthesia for supratentorail mass
Anaesthesia for supratentorail massAnaesthesia for supratentorail mass
Anaesthesia for supratentorail mass
 
Anesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgeryAnesthetic considerations for spinal surgery
Anesthetic considerations for spinal surgery
 
Anaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryAnaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgery
 
ASRA Guidelines
ASRA GuidelinesASRA Guidelines
ASRA Guidelines
 
Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)Postoperative cognitive dysfunction (pocd) in the (1)
Postoperative cognitive dysfunction (pocd) in the (1)
 
Patient positioning and anaesthetic consideration
Patient positioning and anaesthetic considerationPatient positioning and anaesthetic consideration
Patient positioning and anaesthetic consideration
 
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
 
Perioperative hypoxia
Perioperative hypoxiaPerioperative hypoxia
Perioperative hypoxia
 
Brain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ DonationBrain Death and Preparation for Organ Donation
Brain Death and Preparation for Organ Donation
 
Monitoring depth of anaesthesia
Monitoring depth of anaesthesiaMonitoring depth of anaesthesia
Monitoring depth of anaesthesia
 
Obesity & anaesthesia
Obesity & anaesthesiaObesity & anaesthesia
Obesity & anaesthesia
 
Anaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeriesAnaesthesia for laparoscopic surgeries
Anaesthesia for laparoscopic surgeries
 
Anaesthesia for spine surgery
Anaesthesia for spine surgeryAnaesthesia for spine surgery
Anaesthesia for spine surgery
 
Neuromuscular Monitoring
Neuromuscular MonitoringNeuromuscular Monitoring
Neuromuscular Monitoring
 
Hypotensive anesthesia
Hypotensive anesthesiaHypotensive anesthesia
Hypotensive anesthesia
 
Management of intraoperative bronchospasm
Management of intraoperative bronchospasmManagement of intraoperative bronchospasm
Management of intraoperative bronchospasm
 

Ähnlich wie Anesthesia for neurosurgery (zuhura)

Anaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursAnaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursDr.S.N.Bhagirath ..
 
Supra tentorial brain tumor anesthetics management
Supra tentorial brain tumor anesthetics managementSupra tentorial brain tumor anesthetics management
Supra tentorial brain tumor anesthetics managementCMC VELLORE Tamilnadu
 
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 pressureDrhardik Patel
 
Raised intra cranial pressure
Raised intra cranial pressureRaised intra cranial pressure
Raised intra cranial pressurePraveen Nagula
 
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 2Sigit Sutanto
 
Anesthesia for Neurosurgical Patients.pptx
Anesthesia for Neurosurgical Patients.pptxAnesthesia for Neurosurgical Patients.pptx
Anesthesia for Neurosurgical Patients.pptxravikrishnappa3
 
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.pptxNirmal Shanmugam
 
Anaesthetic management of pheochromocytoma
Anaesthetic management of pheochromocytomaAnaesthetic management of pheochromocytoma
Anaesthetic management of pheochromocytomaIndranil Biswas
 
Anaesthesia for supratentorial surgeries
Anaesthesia for supratentorial surgeriesAnaesthesia for supratentorial surgeries
Anaesthesia for supratentorial surgeriesanaesthesiaESICMCH
 
Anaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiologyAnaesthesia for interventional neuroradiology
Anaesthesia for interventional neuroradiologyDr Kumar
 
Icu care after acute head injury
Icu care after acute head injuryIcu care after acute head injury
Icu care after acute head injurygaganbrar18
 
Management of Raised Intracranial Pressure
Management of Raised Intracranial PressureManagement of Raised Intracranial Pressure
Management of Raised Intracranial PressureStephanie Okeleke
 
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 correctionNaveen Kumar Ch
 
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 OFblessingmichael5
 
Drihabsuliman
DrihabsulimanDrihabsuliman
Drihabsulimanhospital
 

Ähnlich wie 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
 
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
 
neurophysiologic monitoring final
neurophysiologic monitoring finalneurophysiologic monitoring final
neurophysiologic monitoring final
 

Mehr von AnaestHSNZ

Non conventional ventilator modes
Non conventional ventilator modesNon conventional ventilator modes
Non conventional ventilator modesAnaestHSNZ
 
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 hemophiliaAnaestHSNZ
 
Mmr presentation anaesth
Mmr presentation anaesthMmr presentation anaesth
Mmr presentation anaesthAnaestHSNZ
 
La toxicity 2010_0
La toxicity 2010_0La toxicity 2010_0
La toxicity 2010_0AnaestHSNZ
 
Disorder of ca metabolism
Disorder of ca metabolismDisorder of ca metabolism
Disorder of ca metabolismAnaestHSNZ
 
One lung ventilation kweq part 1
One lung ventilation kweq part 1One lung ventilation kweq part 1
One lung ventilation kweq part 1AnaestHSNZ
 
Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia careAnaestHSNZ
 
Anaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaestHSNZ
 

Mehr von 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
 

Kürzlich hochgeladen

Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 

Kürzlich hochgeladen (20)

Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 

Anesthesia for neurosurgery (zuhura)