SlideShare a Scribd company logo
1 of 54
Anything new in Airway Management? Dr Adrian Burger Emergency Medicine Senior Registrar UCT/US
So what do we do?  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Opening ,[object Object],[object Object],[object Object],[object Object]
Opening or securing the Airway ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mask ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mask
Positive Pressure Ventilation ,[object Object],[object Object]
Mask with one-way valve
Oropharyngeal Airway/Guedel ,[object Object],[object Object],Yellow 5 Red 4 Orange 3 Green 2 White 1 Black O Blue OO Violet 000 COLOUR SIZE
Oropharyngeal Airways
Oropharyngeal Airway/Guedel ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oropharyngeal Airway/Guedel ,[object Object],[object Object],[object Object]
Oropharyngeal Airway/Guedel ,[object Object],[object Object],[object Object],[object Object],[object Object]
Oropharyngeal Airway/Guedel ,[object Object],[object Object],[object Object],[object Object],[object Object]
Oropharyngeal Airway/Guedel ,[object Object],[object Object],[object Object],[object Object]
Nasopharyngeal Airway ,[object Object],[object Object],[object Object]
Nasopharyngeal Airway
Nasopharyngeal Airway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nasopharyngeal Airway ,[object Object],[object Object],[object Object],[object Object]
LMA ,[object Object],[object Object],[object Object],[object Object]
LMA
LMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],>100kg 6 70-100kg 5 50-70kg 4 30-50kg 3 20-30kg 2.5 10-20kg 2 5-10kg 1.5 <5 kg 1 PATIENT SIZE
LMA in Emergency Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LMA in Emergency Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
LMA Use in Emergency Paediatrics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LMA in Emergency Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
LMA in Emergency Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
LMA Insertion
LMA Insertion
CombitubeĀ®
CombitubeĀ® ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CombitubeĀ® ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CombitubeĀ® Insertion
ETT
Equipment for ETT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETT ,[object Object],[object Object],[object Object],[object Object]
Why ETT? ,[object Object],[object Object],[object Object],[object Object]
Anatomy
Ā 
endotracheal tubes ,[object Object],[object Object]
placement of ETT ,[object Object]
railroad techniques for changing tubes ,[object Object]
Tube Placement Confirmation  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Detection Devices ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Secure the ETT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BMV ,[object Object],[object Object],[object Object],[object Object],[object Object]
BMV
BMV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Failed Intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Failed Intubation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Remember ,[object Object],[object Object],[object Object]
Parting shot ,[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

AIRWAY ADJUNCT
AIRWAY ADJUNCTAIRWAY ADJUNCT
AIRWAY ADJUNCTArnold Daniel
Ā 
Intubation_Presentation_20150119
Intubation_Presentation_20150119Intubation_Presentation_20150119
Intubation_Presentation_20150119LariRN
Ā 
Supra glottic airway children
Supra glottic airway childrenSupra glottic airway children
Supra glottic airway childrenDr Kumar
Ā 
Airway Management
Airway ManagementAirway Management
Airway ManagementReza Aminnejad
Ā 
MELLSS Airway adjunct and difficult airway
MELLSS Airway adjunct and difficult airway MELLSS Airway adjunct and difficult airway
MELLSS Airway adjunct and difficult airway nur amalina aminuddin baki
Ā 
Power point airway management
Power point   airway managementPower point   airway management
Power point airway managementStephen Collins
Ā 
Airway assessment
Airway assessmentAirway assessment
Airway assessmentDeepa Sinha
Ā 
Airway management
Airway managementAirway management
Airway managementmirshafat
Ā 
Supraglottic Airway Device
Supraglottic Airway DeviceSupraglottic Airway Device
Supraglottic Airway DeviceDebojyoti Dutta
Ā 
Recent advances in airway management.
Recent advances in airway management.Recent advances in airway management.
Recent advances in airway management.Dr.Alpa Sonawane
Ā 
Airway devices and adjuncts
Airway devices and adjuncts Airway devices and adjuncts
Airway devices and adjuncts Anoop James
Ā 
basic airway management
basic airway managementbasic airway management
basic airway managementSalah Ashour
Ā 
Advanced airway-management
Advanced airway-managementAdvanced airway-management
Advanced airway-managementDang Thanh Tuan
Ā 
Airway Management
Airway ManagementAirway Management
Airway ManagementMaged Hassan
Ā 
Intubation and mechanical ventilation 22, dr virbhan balai
Intubation and mechanical ventilation 22, dr virbhan balaiIntubation and mechanical ventilation 22, dr virbhan balai
Intubation and mechanical ventilation 22, dr virbhan balaiDr Virbhan Balai
Ā 

What's hot (20)

AIRWAY ADJUNCT
AIRWAY ADJUNCTAIRWAY ADJUNCT
AIRWAY ADJUNCT
Ā 
Intubation_Presentation_20150119
Intubation_Presentation_20150119Intubation_Presentation_20150119
Intubation_Presentation_20150119
Ā 
airway management
airway managementairway management
airway management
Ā 
Supra glottic airway children
Supra glottic airway childrenSupra glottic airway children
Supra glottic airway children
Ā 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
Ā 
Airway Management
Airway ManagementAirway Management
Airway Management
Ā 
ANES 1502 - M6 PPT: Airway Management and Supplies
ANES 1502 - M6 PPT: Airway Management and SuppliesANES 1502 - M6 PPT: Airway Management and Supplies
ANES 1502 - M6 PPT: Airway Management and Supplies
Ā 
Airway Management
Airway ManagementAirway Management
Airway Management
Ā 
MELLSS Airway adjunct and difficult airway
MELLSS Airway adjunct and difficult airway MELLSS Airway adjunct and difficult airway
MELLSS Airway adjunct and difficult airway
Ā 
Power point airway management
Power point   airway managementPower point   airway management
Power point airway management
Ā 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
Ā 
Airway management
Airway managementAirway management
Airway management
Ā 
Supraglottic Airway Device
Supraglottic Airway DeviceSupraglottic Airway Device
Supraglottic Airway Device
Ā 
Recent advances in airway management.
Recent advances in airway management.Recent advances in airway management.
Recent advances in airway management.
Ā 
Airway devices and adjuncts
Airway devices and adjuncts Airway devices and adjuncts
Airway devices and adjuncts
Ā 
basic airway management
basic airway managementbasic airway management
basic airway management
Ā 
Advanced airway-management
Advanced airway-managementAdvanced airway-management
Advanced airway-management
Ā 
Airway Management
Airway ManagementAirway Management
Airway Management
Ā 
Airway management
Airway managementAirway management
Airway management
Ā 
Intubation and mechanical ventilation 22, dr virbhan balai
Intubation and mechanical ventilation 22, dr virbhan balaiIntubation and mechanical ventilation 22, dr virbhan balai
Intubation and mechanical ventilation 22, dr virbhan balai
Ā 

Viewers also liked

Laryngeal Mask Airway & Igel - An Introduction
Laryngeal Mask Airway & Igel - An IntroductionLaryngeal Mask Airway & Igel - An Introduction
Laryngeal Mask Airway & Igel - An IntroductionHIRANGER
Ā 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway deviceDebojyoti Dutta
Ā 
Facemask , oral and nasal airways
Facemask , oral and nasal airwaysFacemask , oral and nasal airways
Facemask , oral and nasal airwaysDR SHADAB KAMAL
Ā 
Endotracheal intubation
Endotracheal intubationEndotracheal intubation
Endotracheal intubationAgrawal N.K
Ā 
Airway management in the Emergency Department for Trainees
Airway management in the Emergency Department for TraineesAirway management in the Emergency Department for Trainees
Airway management in the Emergency Department for TraineesBishan Rajapakse
Ā 
Airway Manegement
Airway ManegementAirway Manegement
Airway ManegementHusni Ajaj
Ā 
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
Ā 
A. introduction to forensic medicine
A. introduction to forensic medicineA. introduction to forensic medicine
A. introduction to forensic medicinesoemdy
Ā 
Build Features, Not Apps
Build Features, Not AppsBuild Features, Not Apps
Build Features, Not AppsNatasha Murashev
Ā 

Viewers also liked (14)

Intermediate aw devices
Intermediate aw devicesIntermediate aw devices
Intermediate aw devices
Ā 
Laryngeal Mask Airway & Igel - An Introduction
Laryngeal Mask Airway & Igel - An IntroductionLaryngeal Mask Airway & Igel - An Introduction
Laryngeal Mask Airway & Igel - An Introduction
Ā 
Airway Management
Airway ManagementAirway Management
Airway Management
Ā 
Airway
AirwayAirway
Airway
Ā 
Supraglottic airway device
Supraglottic airway deviceSupraglottic airway device
Supraglottic airway device
Ā 
Facemask , oral and nasal airways
Facemask , oral and nasal airwaysFacemask , oral and nasal airways
Facemask , oral and nasal airways
Ā 
Endotracheal intubation
Endotracheal intubationEndotracheal intubation
Endotracheal intubation
Ā 
Neonatal Jaundice
Neonatal JaundiceNeonatal Jaundice
Neonatal Jaundice
Ā 
Airway management in the Emergency Department for Trainees
Airway management in the Emergency Department for TraineesAirway management in the Emergency Department for Trainees
Airway management in the Emergency Department for Trainees
Ā 
Airway Manegement
Airway ManegementAirway Manegement
Airway Manegement
Ā 
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
Ā 
Anaesthesia equipment
Anaesthesia equipmentAnaesthesia equipment
Anaesthesia equipment
Ā 
A. introduction to forensic medicine
A. introduction to forensic medicineA. introduction to forensic medicine
A. introduction to forensic medicine
Ā 
Build Features, Not Apps
Build Features, Not AppsBuild Features, Not Apps
Build Features, Not Apps
Ā 

Similar to Anything New In The Airway Managment

Pediatric airway management
Pediatric airway managementPediatric airway management
Pediatric airway managementDr Abdul sherwani
Ā 
vdocuments.mx_airway-management-56ecf37df3080.ppt
vdocuments.mx_airway-management-56ecf37df3080.pptvdocuments.mx_airway-management-56ecf37df3080.ppt
vdocuments.mx_airway-management-56ecf37df3080.pptSholayMeiteiKangjam
Ā 
Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways ManagementDang Thanh Tuan
Ā 
Difficult airway
Difficult airwayDifficult airway
Difficult airwayashishnair22
Ā 
Airway assessment in anaesthesia
Airway assessment in anaesthesiaAirway assessment in anaesthesia
Airway assessment in anaesthesiaCaliPenn
Ā 
10 airway management-opa
10 airway management-opa10 airway management-opa
10 airway management-opasojhk
Ā 
Airwaymanagement 101212112449-phpapp01
Airwaymanagement 101212112449-phpapp01Airwaymanagement 101212112449-phpapp01
Airwaymanagement 101212112449-phpapp01Abdullhakeem Hussein
Ā 
Bag and mask Ventilation
Bag and mask VentilationBag and mask Ventilation
Bag and mask Ventilationbewilderedgal
Ā 
Difficult airway management
Difficult airway managementDifficult airway management
Difficult airway managementDrVishal Kandhway
Ā 
AirwayEmergencyManagement.ppt
AirwayEmergencyManagement.pptAirwayEmergencyManagement.ppt
AirwayEmergencyManagement.pptRazaChaudhary4
Ā 
basic life support in pediatric.ppt
basic life support in pediatric.pptbasic life support in pediatric.ppt
basic life support in pediatric.pptEngy Diaa
Ā 
Cr pediatrics residents airway management part 2
Cr pediatrics residents airway management part 2Cr pediatrics residents airway management part 2
Cr pediatrics residents airway management part 2Danny Castro
Ā 
Airway and breathing
Airway and breathing Airway and breathing
Airway and breathing whitmaha
Ā 
Airway management part 2
Airway management part 2Airway management part 2
Airway management part 2Dang Thanh Tuan
Ā 
Airway Management 2
Airway  Management 2Airway  Management 2
Airway Management 2Dang Thanh Tuan
Ā 

Similar to Anything New In The Airway Managment (20)

Backup airways
Backup airwaysBackup airways
Backup airways
Ā 
Pediatric airway management
Pediatric airway managementPediatric airway management
Pediatric airway management
Ā 
vdocuments.mx_airway-management-56ecf37df3080.ppt
vdocuments.mx_airway-management-56ecf37df3080.pptvdocuments.mx_airway-management-56ecf37df3080.ppt
vdocuments.mx_airway-management-56ecf37df3080.ppt
Ā 
Pediatric Airways Management
Pediatric Airways ManagementPediatric Airways Management
Pediatric Airways Management
Ā 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
Ā 
airwaytoday.ppt
airwaytoday.pptairwaytoday.ppt
airwaytoday.ppt
Ā 
Critical Care Airway Management5 (3)
Critical Care Airway Management5 (3)Critical Care Airway Management5 (3)
Critical Care Airway Management5 (3)
Ā 
Airway assessment in anaesthesia
Airway assessment in anaesthesiaAirway assessment in anaesthesia
Airway assessment in anaesthesia
Ā 
Difficult airway : Made easy
Difficult airway : Made easy Difficult airway : Made easy
Difficult airway : Made easy
Ā 
10 airway management-opa
10 airway management-opa10 airway management-opa
10 airway management-opa
Ā 
Airwaymanagement 101212112449-phpapp01
Airwaymanagement 101212112449-phpapp01Airwaymanagement 101212112449-phpapp01
Airwaymanagement 101212112449-phpapp01
Ā 
Bag and mask Ventilation
Bag and mask VentilationBag and mask Ventilation
Bag and mask Ventilation
Ā 
Difficult airway management
Difficult airway managementDifficult airway management
Difficult airway management
Ā 
AirwayEmergencyManagement.ppt
AirwayEmergencyManagement.pptAirwayEmergencyManagement.ppt
AirwayEmergencyManagement.ppt
Ā 
basic life support in pediatric.ppt
basic life support in pediatric.pptbasic life support in pediatric.ppt
basic life support in pediatric.ppt
Ā 
Cr pediatrics residents airway management part 2
Cr pediatrics residents airway management part 2Cr pediatrics residents airway management part 2
Cr pediatrics residents airway management part 2
Ā 
SupraAD-1.ppt
SupraAD-1.pptSupraAD-1.ppt
SupraAD-1.ppt
Ā 
Airway and breathing
Airway and breathing Airway and breathing
Airway and breathing
Ā 
Airway management part 2
Airway management part 2Airway management part 2
Airway management part 2
Ā 
Airway Management 2
Airway  Management 2Airway  Management 2
Airway Management 2
Ā 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnDang Thanh Tuan
Ā 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnDang Thanh Tuan
Ā 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vnDang Thanh Tuan
Ā 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnDang Thanh Tuan
Ā 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnDang Thanh Tuan
Ā 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnDang Thanh Tuan
Ā 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnDang Thanh Tuan
Ā 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnDang Thanh Tuan
Ā 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnDang Thanh Tuan
Ā 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedationDang Thanh Tuan
Ā 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsDang Thanh Tuan
Ā 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoringDang Thanh Tuan
Ā 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnographyDang Thanh Tuan
Ā 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and managementDang Thanh Tuan
Ā 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubatedDang Thanh Tuan
Ā 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubatedDang Thanh Tuan
Ā 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introductionDang Thanh Tuan
Ā 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overviewDang Thanh Tuan
Ā 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnographyDang Thanh Tuan
Ā 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphyDang Thanh Tuan
Ā 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
Ā 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
Ā 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
Ā 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
Ā 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
Ā 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
Ā 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
Ā 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
Ā 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
Ā 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
Ā 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
Ā 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
Ā 
19 introduction of volumetric capnography
19 introduction of volumetric capnography19 introduction of volumetric capnography
19 introduction of volumetric capnography
Ā 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
Ā 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
Ā 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
Ā 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
Ā 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
Ā 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
Ā 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
Ā 

Recently uploaded

Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Russian Escorts Girls Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls DelhiAlinaDevecerski
Ā 
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore EscortsVIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escortsaditipandeya
Ā 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
Ā 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
Ā 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
Ā 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
Ā 
Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...narwatsonia7
Ā 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
Ā 
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoybabeytanya
Ā 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
Ā 
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls AvailableVip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls AvailableNehru place Escorts
Ā 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
Ā 
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...astropune
Ā 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
Ā 
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoybabeytanya
Ā 
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipurparulsinha
Ā 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
Ā 
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...CALL GIRLS
Ā 

Recently uploaded (20)

Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Russian Escorts Girls Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI šŸ”9711199012 ā˜Ŗ 24/7 Call Girls Delhi
Ā 
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore EscortsVIP Call Girls Indore Kirti šŸ’ššŸ˜‹  9256729539 šŸš€ Indore Escorts
VIP Call Girls Indore Kirti šŸ’ššŸ˜‹ 9256729539 šŸš€ Indore Escorts
Ā 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
Ā 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Ā 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Ā 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Ā 
Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road āŸŸ 8250192130 āŸŸ Call Me For Genuine Sex...
Ā 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Ā 
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Vashi MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Ā 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Ā 
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls AvailableVip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Vip Call Girls Anna Salai Chennai šŸ‘‰ 8250192130 ā£ļøšŸ’Æ Top Class Girls Available
Ā 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
Ā 
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
ā™›VVIP Hyderabad Call Girls ChintalkuntašŸ–•7001035870šŸ–•Riya Kappor Top Call Girl ...
Ā 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Ā 
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night EnjoyCall Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Call Girl Number in Panvel MumbaišŸ“² 9833363713 šŸ’ž Full Night Enjoy
Ā 
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ā¤8445551418 VIP Call Girls Jaipur
Ā 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Ā 
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Call Girls Service Surat Samaira ā¤ļøšŸ‘ 8250192130 šŸ‘„ Independent Escort Service ...
Ā 

Anything New In The Airway Managment