Submit Search
Upload
Smith hfov adult ards july 2007
•
Download as PPT, PDF
•
1 like
•
420 views
Dang Thanh Tuan
Follow
Health & Medicine
Report
Share
Report
Share
1 of 20
Download now
Recommended
There might be no safe ventilation. Much too often, all there is for us to measure at the bedside are nothing but global indicators of stress/strain, more or less refined. Heterogeneity at the alveolar level-inhomogeneities or stress raisers - render global parameters less useful than previously predicted. In fact, Mead had already stated it through his work on stress distribution at the alveolar level. ECMO (VA ECMO) might be regarded as one other way of decatecholaminization (M.Singer). Stop stressing the already stressed heart. Unfortunately, fem-fem VA ECMO still needs inotropic support to lessen the LV distension. Levosimendan and IABP combined could help decrease the catecholamine usage in this context.
ECMO - beyond protective ventilation
ECMO - beyond protective ventilation
Cosmin Balan
Comorbidities in COPD
COPD comorbid 2018
COPD comorbid 2018
Mohammad Shawky
ICS State of the Art Meeting 2015
Is ECMO the Answer? A North American Perspective - Fan
Is ECMO the Answer? A North American Perspective - Fan
intensivecaresociety
ICS SOA 2105
The ARDS Definition is Killing Advances in the Field - Fan
The ARDS Definition is Killing Advances in the Field - Fan
intensivecaresociety
ICS SOA 2015
ECMO: You're doing it all wrong! Or are we? - Fan
ECMO: You're doing it all wrong! Or are we? - Fan
intensivecaresociety
COPD systemic effects and comorbidities
COPD systemic effects and comorbidities
COPD systemic effects and comorbidities
Ashique Ali
Is COPD an inflammatory disease?
Is COPD an inflammatory disease?
Gamal Agmy
Pulmonary COPD Systemic Inflammation
Copd systemic inflammation or systemic manifestations
Copd systemic inflammation or systemic manifestations
Waheed Shouman
Recommended
There might be no safe ventilation. Much too often, all there is for us to measure at the bedside are nothing but global indicators of stress/strain, more or less refined. Heterogeneity at the alveolar level-inhomogeneities or stress raisers - render global parameters less useful than previously predicted. In fact, Mead had already stated it through his work on stress distribution at the alveolar level. ECMO (VA ECMO) might be regarded as one other way of decatecholaminization (M.Singer). Stop stressing the already stressed heart. Unfortunately, fem-fem VA ECMO still needs inotropic support to lessen the LV distension. Levosimendan and IABP combined could help decrease the catecholamine usage in this context.
ECMO - beyond protective ventilation
ECMO - beyond protective ventilation
Cosmin Balan
Comorbidities in COPD
COPD comorbid 2018
COPD comorbid 2018
Mohammad Shawky
ICS State of the Art Meeting 2015
Is ECMO the Answer? A North American Perspective - Fan
Is ECMO the Answer? A North American Perspective - Fan
intensivecaresociety
ICS SOA 2105
The ARDS Definition is Killing Advances in the Field - Fan
The ARDS Definition is Killing Advances in the Field - Fan
intensivecaresociety
ICS SOA 2015
ECMO: You're doing it all wrong! Or are we? - Fan
ECMO: You're doing it all wrong! Or are we? - Fan
intensivecaresociety
COPD systemic effects and comorbidities
COPD systemic effects and comorbidities
COPD systemic effects and comorbidities
Ashique Ali
Is COPD an inflammatory disease?
Is COPD an inflammatory disease?
Gamal Agmy
Pulmonary COPD Systemic Inflammation
Copd systemic inflammation or systemic manifestations
Copd systemic inflammation or systemic manifestations
Waheed Shouman
ICS State of the Art Meeting 2015
Can you have too much oxygen? - Radermacher
Can you have too much oxygen? - Radermacher
intensivecaresociety
PS_Lung Disease AAI2016_2173-Final
PS_Lung Disease AAI2016_2173-Final
Paul Younge
Riñon pulmon
Riñon pulmon
Gisela Subils
ICS State of the Art Meeting 2015
ARDS VILI Pro-Con Debate - Mac Sweeney
ARDS VILI Pro-Con Debate - Mac Sweeney
intensivecaresociety
Brief presentation on ECMO, approx 20 minutes.Mostly development with a couple of slides on clinical outcomes.
Ecmo - a basic overview.
Ecmo - a basic overview.
Craig Farrington
Thomas & Kass bust some common ICU Myths in a classic Podcast for Intensive Care Network (ICN). Here's the slide deck and references to go with it.
Myths in ICU: BUSTED by Team Thomas
Myths in ICU: BUSTED by Team Thomas
SMACC Conference
"Mechanisms of nitric oxide synthase uncoupling in endotoxin-induced acute lung injury: role of asymmetric dimethylarginine" appeared in a 2010 issue of Vascular Pharmacology and summarized Stephen M. Black's research into acute lung injury/sepsis.
Mechanisms of nitric oxide synthase
Mechanisms of nitric oxide synthase
Stephen M. Black
UROP Poster_Steven
UROP Poster_Steven
Steven Chen
Dr. Ravi Tiruvoipati presented the initial Australian experience with low-flow extracorporeal carbon dioxide removal (Hemolung RAS) at the 2015 Australian and New Zealand Intensive Care Society (ANZICS) meeting.
Early experience of low flow extracorporeal carbon dioxide removal in managem...
Early experience of low flow extracorporeal carbon dioxide removal in managem...
alungtech
calculate gas data
Abg vs vbg
Abg vs vbg
Arder Tsai
Endothelium was once thought to be an inert organ. However, it plays an important role in multiple functions. These include coagulation, inflammation and determination of vascular permeability. He then gives a brief overview of the endothelial arrangement, function of the glycocalyx layer and how an injury causing a loss of the protective layer results in holes in the endothelium. The inflammatory cells enter via these holes and causes oedema in the affected organs leading to multiple pathologies. Danny then explains the role of endothelium in controlling cell barrier function. Activation of cortactin protein and the myosin light-chain kinase (MLCK) enzymes activate stress fibres resulting in pulling of endothelial cells thereby increasing its permeability. Danny discusses the role of endothelial dysfunction in acute respiratory distress syndrome (ARDS) at macrovascular, microvascular and molecular levels. Macrovascular thrombosis is related to an increase in severity of ARDS, pulmonary hypertension, and mortality. At a microvascular level there is a loss of vascularity and increased blood vessel thickness. At a microscopic level, endothelial cells appear swollen and damaged in ARDS. Endothelial dysfunction drives organ dysfunction and mortality. Changes in various endothelial markers like increased von Willebrand factor (vWF), decreased protein C and increased pulmonary dead space correlate with increased mortality. Studies show that endothelial dysfunction is a more specific and sensitive method to predict mortality of critically ill patients when compared to SOFA score, SAPS 2 score and WCC. Danny discusses ventilator strategies for endothelial cells in ARDS patients. Lowering the tidal volume of ventilators and employing recruitment manoeuvres are such strategies. Both of these cause a decrease in oedema by reducing endothelial permeability. He then shares the various potential pharmacological treatments for treating endothelial damage. These include statins and spingosine-1-phosphate (S1P). Different studies on the effect of statins in ARDS show contradicting result. However, targeted therapies can be designed by studying the phenotypes and molecular basis of ARDS in each patient. The role of the endothelium as a mediator of critical illness by Danny McAuley Finally, for more like this, head to our podcast page. #CodaPodcast
The role of the endothelium as a mediator of critical illness
The role of the endothelium as a mediator of critical illness
SMACC Conference
Lung protective strategies grooms
Lung protective strategies grooms
Dang Thanh Tuan
FFP vs Octaplas
1 ffp octaplas massive transfusion 35 slides
1 ffp octaplas massive transfusion 35 slides
HdailHDARIMCroatia
Massimo Boffini 42° Corso Nazionale TPM Caserta, 3 - 6 ottobre 2017
La perfusione degli organi
La perfusione degli organi
Network Trapianti
Prognostic Role Of Aa Do2 In Acute Pulmonary Embolism
Prognostic Role Of Aa Do2 In Acute Pulmonary Embolism
Dang Thanh Tuan
copd and asthma
Copd and asthma
Copd and asthma
Tajuddin Shaik
0c9605215046f7a34f000000
0c9605215046f7a34f000000
terencehilado
Lecture presented by Dr.Ronald Dahl at Allergy Alex , February 2014 held at Alexandria, Egypt. Allergy Alex is the leading medical event and exhibition for Allergy, Asthma and COPD in Egypt. www.allergyalex.com
Bronchodilators in COPD
Bronchodilators in COPD
Dr.Mahmoud Abbas
medi-95-e4060(1)
medi-95-e4060(1)
Donato Vairo, Ph. D.
This symposium provides an overview of the (r)evolution in intensive care medicine. The programme is based on lectures of 20 minutes where each speaker presents in two 10 minute talks (in der Beschränkung zeigt sich erst der Meister) the good things that happened in the last 40 years in critical care vs our mistakes or what is missing with respect to that topic. At the end of the session the speakers participate in an interactive round table discussion with online voting to get the audience involved. Will be discussed: Theoretical concepts, basic physiology and pathophysiology, monitoring, and future directions.
1. time to look back, what happened in the past 40 years in critical care #uz...
1. time to look back, what happened in the past 40 years in critical care #uz...
International Fluid Academy
Useful information on Vietnam
Vietnam- A destination for tourists
Vietnam- A destination for tourists
Ngoc Hoang Dinh
2009 In Blogosfera Romaneasca
2009 In Blogosfera Romaneasca
Constantin Cocioaba
More Related Content
What's hot
ICS State of the Art Meeting 2015
Can you have too much oxygen? - Radermacher
Can you have too much oxygen? - Radermacher
intensivecaresociety
PS_Lung Disease AAI2016_2173-Final
PS_Lung Disease AAI2016_2173-Final
Paul Younge
Riñon pulmon
Riñon pulmon
Gisela Subils
ICS State of the Art Meeting 2015
ARDS VILI Pro-Con Debate - Mac Sweeney
ARDS VILI Pro-Con Debate - Mac Sweeney
intensivecaresociety
Brief presentation on ECMO, approx 20 minutes.Mostly development with a couple of slides on clinical outcomes.
Ecmo - a basic overview.
Ecmo - a basic overview.
Craig Farrington
Thomas & Kass bust some common ICU Myths in a classic Podcast for Intensive Care Network (ICN). Here's the slide deck and references to go with it.
Myths in ICU: BUSTED by Team Thomas
Myths in ICU: BUSTED by Team Thomas
SMACC Conference
"Mechanisms of nitric oxide synthase uncoupling in endotoxin-induced acute lung injury: role of asymmetric dimethylarginine" appeared in a 2010 issue of Vascular Pharmacology and summarized Stephen M. Black's research into acute lung injury/sepsis.
Mechanisms of nitric oxide synthase
Mechanisms of nitric oxide synthase
Stephen M. Black
UROP Poster_Steven
UROP Poster_Steven
Steven Chen
Dr. Ravi Tiruvoipati presented the initial Australian experience with low-flow extracorporeal carbon dioxide removal (Hemolung RAS) at the 2015 Australian and New Zealand Intensive Care Society (ANZICS) meeting.
Early experience of low flow extracorporeal carbon dioxide removal in managem...
Early experience of low flow extracorporeal carbon dioxide removal in managem...
alungtech
calculate gas data
Abg vs vbg
Abg vs vbg
Arder Tsai
Endothelium was once thought to be an inert organ. However, it plays an important role in multiple functions. These include coagulation, inflammation and determination of vascular permeability. He then gives a brief overview of the endothelial arrangement, function of the glycocalyx layer and how an injury causing a loss of the protective layer results in holes in the endothelium. The inflammatory cells enter via these holes and causes oedema in the affected organs leading to multiple pathologies. Danny then explains the role of endothelium in controlling cell barrier function. Activation of cortactin protein and the myosin light-chain kinase (MLCK) enzymes activate stress fibres resulting in pulling of endothelial cells thereby increasing its permeability. Danny discusses the role of endothelial dysfunction in acute respiratory distress syndrome (ARDS) at macrovascular, microvascular and molecular levels. Macrovascular thrombosis is related to an increase in severity of ARDS, pulmonary hypertension, and mortality. At a microvascular level there is a loss of vascularity and increased blood vessel thickness. At a microscopic level, endothelial cells appear swollen and damaged in ARDS. Endothelial dysfunction drives organ dysfunction and mortality. Changes in various endothelial markers like increased von Willebrand factor (vWF), decreased protein C and increased pulmonary dead space correlate with increased mortality. Studies show that endothelial dysfunction is a more specific and sensitive method to predict mortality of critically ill patients when compared to SOFA score, SAPS 2 score and WCC. Danny discusses ventilator strategies for endothelial cells in ARDS patients. Lowering the tidal volume of ventilators and employing recruitment manoeuvres are such strategies. Both of these cause a decrease in oedema by reducing endothelial permeability. He then shares the various potential pharmacological treatments for treating endothelial damage. These include statins and spingosine-1-phosphate (S1P). Different studies on the effect of statins in ARDS show contradicting result. However, targeted therapies can be designed by studying the phenotypes and molecular basis of ARDS in each patient. The role of the endothelium as a mediator of critical illness by Danny McAuley Finally, for more like this, head to our podcast page. #CodaPodcast
The role of the endothelium as a mediator of critical illness
The role of the endothelium as a mediator of critical illness
SMACC Conference
Lung protective strategies grooms
Lung protective strategies grooms
Dang Thanh Tuan
FFP vs Octaplas
1 ffp octaplas massive transfusion 35 slides
1 ffp octaplas massive transfusion 35 slides
HdailHDARIMCroatia
Massimo Boffini 42° Corso Nazionale TPM Caserta, 3 - 6 ottobre 2017
La perfusione degli organi
La perfusione degli organi
Network Trapianti
Prognostic Role Of Aa Do2 In Acute Pulmonary Embolism
Prognostic Role Of Aa Do2 In Acute Pulmonary Embolism
Dang Thanh Tuan
copd and asthma
Copd and asthma
Copd and asthma
Tajuddin Shaik
0c9605215046f7a34f000000
0c9605215046f7a34f000000
terencehilado
Lecture presented by Dr.Ronald Dahl at Allergy Alex , February 2014 held at Alexandria, Egypt. Allergy Alex is the leading medical event and exhibition for Allergy, Asthma and COPD in Egypt. www.allergyalex.com
Bronchodilators in COPD
Bronchodilators in COPD
Dr.Mahmoud Abbas
medi-95-e4060(1)
medi-95-e4060(1)
Donato Vairo, Ph. D.
This symposium provides an overview of the (r)evolution in intensive care medicine. The programme is based on lectures of 20 minutes where each speaker presents in two 10 minute talks (in der Beschränkung zeigt sich erst der Meister) the good things that happened in the last 40 years in critical care vs our mistakes or what is missing with respect to that topic. At the end of the session the speakers participate in an interactive round table discussion with online voting to get the audience involved. Will be discussed: Theoretical concepts, basic physiology and pathophysiology, monitoring, and future directions.
1. time to look back, what happened in the past 40 years in critical care #uz...
1. time to look back, what happened in the past 40 years in critical care #uz...
International Fluid Academy
What's hot
(20)
Can you have too much oxygen? - Radermacher
Can you have too much oxygen? - Radermacher
PS_Lung Disease AAI2016_2173-Final
PS_Lung Disease AAI2016_2173-Final
Riñon pulmon
Riñon pulmon
ARDS VILI Pro-Con Debate - Mac Sweeney
ARDS VILI Pro-Con Debate - Mac Sweeney
Ecmo - a basic overview.
Ecmo - a basic overview.
Myths in ICU: BUSTED by Team Thomas
Myths in ICU: BUSTED by Team Thomas
Mechanisms of nitric oxide synthase
Mechanisms of nitric oxide synthase
UROP Poster_Steven
UROP Poster_Steven
Early experience of low flow extracorporeal carbon dioxide removal in managem...
Early experience of low flow extracorporeal carbon dioxide removal in managem...
Abg vs vbg
Abg vs vbg
The role of the endothelium as a mediator of critical illness
The role of the endothelium as a mediator of critical illness
Lung protective strategies grooms
Lung protective strategies grooms
1 ffp octaplas massive transfusion 35 slides
1 ffp octaplas massive transfusion 35 slides
La perfusione degli organi
La perfusione degli organi
Prognostic Role Of Aa Do2 In Acute Pulmonary Embolism
Prognostic Role Of Aa Do2 In Acute Pulmonary Embolism
Copd and asthma
Copd and asthma
0c9605215046f7a34f000000
0c9605215046f7a34f000000
Bronchodilators in COPD
Bronchodilators in COPD
medi-95-e4060(1)
medi-95-e4060(1)
1. time to look back, what happened in the past 40 years in critical care #uz...
1. time to look back, what happened in the past 40 years in critical care #uz...
Viewers also liked
Useful information on Vietnam
Vietnam- A destination for tourists
Vietnam- A destination for tourists
Ngoc Hoang Dinh
2009 In Blogosfera Romaneasca
2009 In Blogosfera Romaneasca
Constantin Cocioaba
2 de thi toan kinh te mo 2011
2 de thi toan kinh te mo 2011
Đẩu Trần
2009 Happy New Year
2009 Happy New Year
mercury3969
Assessment
Assessment
jwalts
June 2009
June 2009
douaymartyrsmedia
Commencement pres 2011
Commencement pres 2011
Peabody Jenkins
Viewers also liked
(7)
Vietnam- A destination for tourists
Vietnam- A destination for tourists
2009 In Blogosfera Romaneasca
2009 In Blogosfera Romaneasca
2 de thi toan kinh te mo 2011
2 de thi toan kinh te mo 2011
2009 Happy New Year
2009 Happy New Year
Assessment
Assessment
June 2009
June 2009
Commencement pres 2011
Commencement pres 2011
Similar to Smith hfov adult ards july 2007
contact me at drvizae@gmail.com
Recruitment Maneuvers in ARDS Dr Chennamchetty
Recruitment Maneuvers in ARDS Dr Chennamchetty
Vizae Kumar Chennam
Basic concept of recruitment including EBM
Recruitment Maneuvers in ARDS Dr Chennamchetty Vijay Kumar
Recruitment Maneuvers in ARDS Dr Chennamchetty Vijay Kumar
Vizae Kumar Chennam
Ards
Ards
Peter Linden
Ards hoover
Ards hoover
Dang Thanh Tuan
ARDS definition, berlin2011, management just an overview.
Ventilator strategies in ARDS
Ventilator strategies in ARDS
Awaneesh Katiyar
Acute Lung Injury & Ards
Acute Lung Injury & Ards
Andrew Ferguson
..
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease
Ashraf ElAdawy
Acute respiratory distress syndrome carre
Acute respiratory distress syndrome carre
Dang Thanh Tuan
Stress & Strain During Lung Protective Ventilation. Presentation of Dr Lluis Blanch at Pulmonary Critical Care Egypt 2014 , the leading educational event and exhibition for Critical Care Medicine in Egypt. www.pccmegypt.com
Stress & Strain during Lung Protective Ventilation Egypt Pulmonary Critical...
Stress & Strain during Lung Protective Ventilation Egypt Pulmonary Critical...
Dr.Mahmoud Abbas
Ards
Ards
Ards
Mohit Aggarwal
Pharmacological Management of COPD
Pharmacological Management of COPD
Pharmacological Management of COPD
Ashraf ElAdawy
Apichat Kanichap
TAEM10: How To Help Copd Patients Feel Better And
TAEM10: How To Help Copd Patients Feel Better And
taem
ARDS
ARDS
Rakesh Karnawat
Ards azocar
Ards azocar
Dang Thanh Tuan
Lung protective strategies in Cardiothoracic Surgery
Lung Protective Ventilation
Lung Protective Ventilation
Dr. S.K. Varma
Ali and ards
03_Acute_Lung_Injury_and_ARDS_dr._divatia.ppt
03_Acute_Lung_Injury_and_ARDS_dr._divatia.ppt
SwapnilPatharekar1
Management Of Copd & Asthma
Management Of Copd & Asthma
Dang Thanh Tuan
simplyfying spirometry pft, a way to teach new comers
simplyfying spirometry
simplyfying spirometry
Kumar Utsav
Anesthesia For Patients Requiring Advanced Ventilatory Support
Anesthesia For Patients Requiring Advanced Ventilatory Support
sxbenavides
m
Ventilation in ARDS.ppt
Ventilation in ARDS.ppt
DrSwarupDas1
Similar to Smith hfov adult ards july 2007
(20)
Recruitment Maneuvers in ARDS Dr Chennamchetty
Recruitment Maneuvers in ARDS Dr Chennamchetty
Recruitment Maneuvers in ARDS Dr Chennamchetty Vijay Kumar
Recruitment Maneuvers in ARDS Dr Chennamchetty Vijay Kumar
Ards
Ards
Ards hoover
Ards hoover
Ventilator strategies in ARDS
Ventilator strategies in ARDS
Acute Lung Injury & Ards
Acute Lung Injury & Ards
Chronic Obstructive Pulmonary Disease
Chronic Obstructive Pulmonary Disease
Acute respiratory distress syndrome carre
Acute respiratory distress syndrome carre
Stress & Strain during Lung Protective Ventilation Egypt Pulmonary Critical...
Stress & Strain during Lung Protective Ventilation Egypt Pulmonary Critical...
Ards
Ards
Pharmacological Management of COPD
Pharmacological Management of COPD
TAEM10: How To Help Copd Patients Feel Better And
TAEM10: How To Help Copd Patients Feel Better And
ARDS
ARDS
Ards azocar
Ards azocar
Lung Protective Ventilation
Lung Protective Ventilation
03_Acute_Lung_Injury_and_ARDS_dr._divatia.ppt
03_Acute_Lung_Injury_and_ARDS_dr._divatia.ppt
Management Of Copd & Asthma
Management Of Copd & Asthma
simplyfying spirometry
simplyfying spirometry
Anesthesia For Patients Requiring Advanced Ventilatory Support
Anesthesia For Patients Requiring Advanced Ventilatory Support
Ventilation in ARDS.ppt
Ventilation in ARDS.ppt
More from Dang Thanh Tuan
Sutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
Dang Thanh Tuan
Smoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Dang Thanh Tuan
Skippen chong dong crrt-vn
Skippen chong dong crrt-vn
Dang Thanh Tuan
Internet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
Dang Thanh Tuan
Internet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
Dang Thanh Tuan
Internet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
Dang Thanh Tuan
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Dang Thanh Tuan
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Dang Thanh Tuan
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
Dang Thanh Tuan
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
Dang Thanh Tuan
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
Dang Thanh Tuan
20 patient monitoring
20 patient monitoring
Dang Thanh Tuan
19 introduction of volumetric capnography
19 introduction of volumetric capnography
Dang Thanh Tuan
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Dang Thanh Tuan
17 capnography part4 non-intubated
17 capnography part4 non-intubated
Dang Thanh Tuan
16 capnography part3 intubated
16 capnography part3 intubated
Dang Thanh Tuan
15 capnography part2 introduction
15 capnography part2 introduction
Dang Thanh Tuan
14 capnography part1 overview
14 capnography part1 overview
Dang Thanh Tuan
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
Dang Thanh Tuan
12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Dang Thanh Tuan
More from Dang Thanh Tuan
(20)
Sutherland chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Skippen chong dong crrt-vn
Skippen chong dong crrt-vn
Internet tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
Internet mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
Internet dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
20 patient monitoring
20 patient monitoring
19 introduction of volumetric capnography
19 introduction of volumetric capnography
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
17 capnography part4 non-intubated
17 capnography part4 non-intubated
16 capnography part3 intubated
16 capnography part3 intubated
15 capnography part2 introduction
15 capnography part2 introduction
14 capnography part1 overview
14 capnography part1 overview
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
12 mainstream sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Recently uploaded
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 30 apr 24 (LK)
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
Top Rated Bangalore Call Girls Mg Road ⟟ ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Inaaya Sharma
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 9833325238 Nargish Khan Booking Contact Details WhatsApp Chat: +91-9833325238 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 06-May 24 (Smt)
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Ishani Gupta
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy Bhabi Ready For Sex At Your Doorstep Booking Contact Details Whatsapp Chat :+91-6297143586 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 1-may-24
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
vidya singh
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In Hyderabad Escorts Service Escorts Service Available Whatsapp Chaya ☎️ : [+91-9352852248 ] Escorts Service Hyderabad are always ready to make their clients happy. Their exotic looks and sexy personalities are sure to turn heads. You can enjoy with them, including massages and erotic encounters.#P12Our area Escorts are young and sexy, so you can expect to have an exotic time with them. They are trained to satiate your naughty nerves and they can handle anything that you want. They are also intelligent, so they know how to make you feel comfortable and relaxed SERVICE ✅ ❣️ ⭐➡️HOT & SEXY MODELS // COLLEGE GIRLS HOUSE WIFE RUSSIAN , AIR HOSTES ,VIP MODELS . AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE PROFILes Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & HOTEL Star Hotel Service .In Call & Out call SeRvIcEs : ★ A-Level (star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without condom ★ANAL SERVICES.
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
GENUINE ESCORT AGENCY
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time Call Mr Chirag Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls, Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In 03-May-2024 (chd) Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Call Girls Delhi
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Gwalior Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Gwalior Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Gwalior Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Dipal Arora
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Guntur Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Guntur Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Guntur Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 30 apr 24 (LK)
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
narwatsonia7
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Vadodara Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Vadodara Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Vadodara Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Dipal Arora
☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine Escort Service & Hotel Service Available Call Mr Chirag Ji +91-7427069034 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls, Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Chennai Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Chennai C010524HD Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 7427069034 !! Thank you for Visiting.
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
hotbabesbook
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426 Call Girls in Call\\Us))),(Delhi) We are Provide best Genuine Normal, High class call girls. escort service at affordable price. We Are One Of The Oldest Escorts and Call girls Agencies in Delhi You Will Find That Our Female Escorts Are Full Of Fun, Sexy And They Would Love Enjoy Your Company. We Have A Fantastic Selection Of Callo Girls Ladies Available For In-Calls As Well As Out-Calls. Our Escorts Are Not Only Beautiful But All Have Great Personalities Making Them The Perfect Companion For Any Occasion. In-Call: — You Can Come at Our Location in Delhi Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — You have To come and Pick Girl From My Place We are Also Provide Door Step Services in Delhi , Gurgaon, Noida. Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hour In Delhi NCR, We Are Providing : — all Types of girls Indian, North East , Foreigner , Airhostess, many More. Service type — In-call Shot 1500, 2,000– In — Call Night /Out-call Night 6,000, to 7,000 — Hi-Fi Rates Shot — 2,000 to 4,000 Full Night 8,000 to 10,000 More Details, Call//WhatsApp, 97111 🔝 ⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 30 apr 24 (LK)
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
narwatsonia7
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Kurnool Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Kurnool Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Kurnool Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
"Call Girls Indore VIP Service.. Booking Open Now We Are Providing Safe & Secure High Class girl women sucking men Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/ women seeking men in royal call girl High class luxury and premium call girl agency. ✔️High class luxury and premium escorts agency We Provide Well Educated, Royal Class Female, High-class Escorts agency offering a top high class escort service in the royal Escorts ✔️ Get High Profile queens , Well Educated , Good Looking , Full Cooperative Model Services. you can see me at my comfortable Hotels or I can visit you in hotel Our Service Available IN All Services 3/5/7 Star Hotels, In call /Out call Service 24/7.. ✔️ All Meetings We Provide Hottest Female With Me Are Safe And Consensual With Most Limits Respected Complete Satisfaction Guaranteed...Service Available In:- 24/7 3 * 5 *7 *Star Hotel Service In. In Call Out call service Avilable also. ✔️ I guarantee you to have an unforgettable experience with me A curvy body, long hair and silky smooth skin. She is an independent royal Escorts/Women Seeking Men model will give you more pleasure & Full satisfaction. ✔️ I am very sensual and flirtatious with charming personality! I love to laugh and my bright smile is ever Present. ,Hotel & Home Services CALL PLZZ ✔️Available Near All 3* 4* 5* 7* Hotels Of I Want Only Hotel Name , Guest Name , Room No. Only For Confirmation.✔️ Nandani... agency...⭐⭐⭐⭐⭐ VIP...Service ✣ ✤ ✥ ✦ TIME WASTERS AND BARGAINERS ARE PLEASE EXCUSE, WE RESPECT YOUR SAFETY AND PRIVACY AND EXPECT TH WHATSAPP CALL ME "
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP Call Girl At Their Home & Hotels Booking Contact Details WhatsApp Chat: +91-9820252231 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-05-24 (Smt)
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
Recently uploaded
(20)
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...
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Vadodara Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
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...
Smith hfov adult ards july 2007
1.
High-frequency oscillatory ventilation
in adults Geoff Smith SICU July 2007
2.
3.
4.
5.
6.
7.
8.
9.
10.
MOAT - 2002
RCT
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Download now