SlideShare uma empresa Scribd logo
1 de 55
Al jadidi Sulaiman Moderator: Dr Mohd Ridhwan 01/03/12
History ,[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
Fell O-Dwyer Device 1888 01/03/12
Scandinavian Polio epidemic 1952 ,[object Object],[object Object],[object Object],01/03/12
Era of respiratory intensive care ,[object Object],[object Object],[object Object],[object Object],01/03/12
01/03/12
Present day… 01/03/12
01/03/12
The Support and Controlled Modes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
Hybrid modes and Concepts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
The ABC’s of breath delivery 01/03/12
% Rise Time 01/03/12
Setting Rise Time ,[object Object],[object Object],[object Object],[object Object],01/03/12
Expiratory Sensitivity (Esens) % 01/03/12
Selecting termination criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],01/03/12
01/03/12
APRV defined ,[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],[object Object],[object Object],01/03/12
01/03/12
Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
01/03/12
01/03/12
Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],[object Object],01/03/12
Disadvantages ,[object Object],[object Object],[object Object],01/03/12
Application of APRV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],[object Object],01/03/12
T low.. ,[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],01/03/12
Weaning of the APRV ,[object Object],[object Object],[object Object],[object Object],01/03/12
01/03/12
01/03/12
01/03/12
Bilevel ventilation methods: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
01/03/12
[object Object],[object Object],[object Object],01/03/12 P T Synchronized Transitions PEEP HIGH PEEP LOW T LOW T HIGH Synchronized Transitions
[object Object],[object Object],01/03/12 PEEP High  + PS  P PEEP L PEEP H Pressure Support
[object Object],01/03/12 Spontaneous Breaths P Pressure Support T
[object Object],[object Object],01/03/12
History ,[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],01/03/12
01/03/12
Clinical application 01/03/12
01/03/12
01/03/12
Indication in ICU ,[object Object],[object Object],[object Object],[object Object],01/03/12
What to aspect.. ,[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
Advantages.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],01/03/12
Disadvantages.. ,[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],[object Object],[object Object],[object Object],01/03/12
[object Object],01/03/12
References.. ,[object Object],[object Object],[object Object],[object Object],01/03/12

Mais conteúdo relacionado

Mais procurados

NIV (Non Invasive Mechanical Ventilation)
NIV (Non Invasive Mechanical Ventilation)NIV (Non Invasive Mechanical Ventilation)
NIV (Non Invasive Mechanical Ventilation)Mohammad Rezaei
 
Newer modes of ventilation
Newer modes of ventilationNewer modes of ventilation
Newer modes of ventilationRicha Kumar
 
Newer modes of ventilation
Newer modes of ventilationNewer modes of ventilation
Newer modes of ventilationRajesh Munigial
 
Basic Of Mechanical Ventilation
Basic Of Mechanical VentilationBasic Of Mechanical Ventilation
Basic Of Mechanical VentilationDang Thanh Tuan
 
Basic modes of mechanical ventilation
Basic modes of mechanical ventilation Basic modes of mechanical ventilation
Basic modes of mechanical ventilation MoHa MmEd
 
Mechanical Ventilator
Mechanical VentilatorMechanical Ventilator
Mechanical VentilatorKhalid Arab
 
Basic modes of mechanical ventilation
Basic modes of mechanical ventilationBasic modes of mechanical ventilation
Basic modes of mechanical ventilationdrsangeet
 
Determinants of weaning from mechanical ventilation
Determinants of weaning from mechanical ventilationDeterminants of weaning from mechanical ventilation
Determinants of weaning from mechanical ventilationJohnson Velukkaran
 
Newer modes of ventilation
Newer modes of ventilationNewer modes of ventilation
Newer modes of ventilationDr. Rohit Saini
 
Ventilator graphics
Ventilator graphicsVentilator graphics
Ventilator graphicsAhmed Hegazy
 
NIV updated
NIV updatedNIV updated
NIV updatedEM OMSB
 
Final newer modes and facts niv chandan
Final newer modes and facts niv chandanFinal newer modes and facts niv chandan
Final newer modes and facts niv chandanChandan Sheet
 
Ventilatory support in special situations balamugesh
Ventilatory support in special situations   balamugeshVentilatory support in special situations   balamugesh
Ventilatory support in special situations balamugeshDang Thanh Tuan
 

Mais procurados (20)

Non invasive ventilation
Non invasive ventilationNon invasive ventilation
Non invasive ventilation
 
NIV (Non Invasive Mechanical Ventilation)
NIV (Non Invasive Mechanical Ventilation)NIV (Non Invasive Mechanical Ventilation)
NIV (Non Invasive Mechanical Ventilation)
 
Ventilator graphics
Ventilator graphicsVentilator graphics
Ventilator graphics
 
Advanced ventilatory modes
Advanced ventilatory modesAdvanced ventilatory modes
Advanced ventilatory modes
 
Modes of mechanical ventilation
Modes of mechanical ventilationModes of mechanical ventilation
Modes of mechanical ventilation
 
Newer modes of ventilation
Newer modes of ventilationNewer modes of ventilation
Newer modes of ventilation
 
Newer modes of ventilation
Newer modes of ventilationNewer modes of ventilation
Newer modes of ventilation
 
Basic Of Mechanical Ventilation
Basic Of Mechanical VentilationBasic Of Mechanical Ventilation
Basic Of Mechanical Ventilation
 
Basic modes of mechanical ventilation
Basic modes of mechanical ventilation Basic modes of mechanical ventilation
Basic modes of mechanical ventilation
 
Mechanical ventilation
Mechanical ventilationMechanical ventilation
Mechanical ventilation
 
Mechanical Ventilator
Mechanical VentilatorMechanical Ventilator
Mechanical Ventilator
 
Basic modes of mechanical ventilation
Basic modes of mechanical ventilationBasic modes of mechanical ventilation
Basic modes of mechanical ventilation
 
Determinants of weaning from mechanical ventilation
Determinants of weaning from mechanical ventilationDeterminants of weaning from mechanical ventilation
Determinants of weaning from mechanical ventilation
 
Mechanical ventilation
Mechanical ventilationMechanical ventilation
Mechanical ventilation
 
Newer modes of ventilation
Newer modes of ventilationNewer modes of ventilation
Newer modes of ventilation
 
PRVC
PRVCPRVC
PRVC
 
Ventilator graphics
Ventilator graphicsVentilator graphics
Ventilator graphics
 
NIV updated
NIV updatedNIV updated
NIV updated
 
Final newer modes and facts niv chandan
Final newer modes and facts niv chandanFinal newer modes and facts niv chandan
Final newer modes and facts niv chandan
 
Ventilatory support in special situations balamugesh
Ventilatory support in special situations   balamugeshVentilatory support in special situations   balamugesh
Ventilatory support in special situations balamugesh
 

Destaque

Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia careAnaestHSNZ
 
Triggering Rise Time E Sens
Triggering Rise Time E SensTriggering Rise Time E Sens
Triggering Rise Time E SensDang Thanh Tuan
 
One lung ventilation kweq part 1
One lung ventilation kweq part 1One lung ventilation kweq part 1
One lung ventilation kweq part 1AnaestHSNZ
 
Mechanical ventilation
Mechanical ventilationMechanical ventilation
Mechanical ventilationSanil Varghese
 
Basic Mechanical Ventilation
Basic Mechanical VentilationBasic Mechanical Ventilation
Basic Mechanical VentilationAndrew Ferguson
 
Nonconventional Modes of Ventilation - Desphande
Nonconventional Modes of Ventilation - DesphandeNonconventional Modes of Ventilation - Desphande
Nonconventional Modes of Ventilation - DesphandeRiver City Symposium
 
Preoperative optimization in thoracic surgery
Preoperative optimization in thoracic surgeryPreoperative optimization in thoracic surgery
Preoperative optimization in thoracic surgerySantosh Dhakal
 
Low cardiac output syndrome- minati
Low cardiac output syndrome- minatiLow cardiac output syndrome- minati
Low cardiac output syndrome- minatiMinati Choudhury
 
One lung ventilation
One lung ventilationOne lung ventilation
One lung ventilationNikhil Yadav
 
La toxicity 2010_0
La toxicity 2010_0La toxicity 2010_0
La toxicity 2010_0AnaestHSNZ
 
Neuromonitoring and Cerebral Protection Strategies
Neuromonitoring and Cerebral Protection StrategiesNeuromonitoring and Cerebral Protection Strategies
Neuromonitoring and Cerebral Protection Strategiesanaest_husm
 
Physiological considerations and patient positioning during anesthesia for th...
Physiological considerations and patient positioning during anesthesia for th...Physiological considerations and patient positioning during anesthesia for th...
Physiological considerations and patient positioning during anesthesia for th...Abeer Nakera
 
Anaesthetic problems of open chest and pathophysiology of one lung ventilation
Anaesthetic problems of open chest and pathophysiology of one lung ventilation Anaesthetic problems of open chest and pathophysiology of one lung ventilation
Anaesthetic problems of open chest and pathophysiology of one lung ventilation aratimohan
 

Destaque (20)

Monitored anaesthesia care
Monitored anaesthesia careMonitored anaesthesia care
Monitored anaesthesia care
 
Mmr03032011
Mmr03032011Mmr03032011
Mmr03032011
 
Triggering Rise Time E Sens
Triggering Rise Time E SensTriggering Rise Time E Sens
Triggering Rise Time E Sens
 
Hemophilia
HemophiliaHemophilia
Hemophilia
 
One lung ventilation kweq part 1
One lung ventilation kweq part 1One lung ventilation kweq part 1
One lung ventilation kweq part 1
 
Ventilator graphics
Ventilator graphicsVentilator graphics
Ventilator graphics
 
Mechanical ventilation
Mechanical ventilationMechanical ventilation
Mechanical ventilation
 
Basic Mechanical Ventilation
Basic Mechanical VentilationBasic Mechanical Ventilation
Basic Mechanical Ventilation
 
Ventilator Graphics
Ventilator GraphicsVentilator Graphics
Ventilator Graphics
 
Nonconventional Modes of Ventilation - Desphande
Nonconventional Modes of Ventilation - DesphandeNonconventional Modes of Ventilation - Desphande
Nonconventional Modes of Ventilation - Desphande
 
Preoperative optimization in thoracic surgery
Preoperative optimization in thoracic surgeryPreoperative optimization in thoracic surgery
Preoperative optimization in thoracic surgery
 
Low cardiac output syndrome- minati
Low cardiac output syndrome- minatiLow cardiac output syndrome- minati
Low cardiac output syndrome- minati
 
One lung ventilation
One lung ventilationOne lung ventilation
One lung ventilation
 
One lung ventilation
One lung ventilationOne lung ventilation
One lung ventilation
 
La toxicity 2010_0
La toxicity 2010_0La toxicity 2010_0
La toxicity 2010_0
 
The Role of Intraoperative Neuromonitoring (IONM)
The Role of Intraoperative Neuromonitoring (IONM)The Role of Intraoperative Neuromonitoring (IONM)
The Role of Intraoperative Neuromonitoring (IONM)
 
Obstetric analgesia...sushil
Obstetric analgesia...sushilObstetric analgesia...sushil
Obstetric analgesia...sushil
 
Neuromonitoring and Cerebral Protection Strategies
Neuromonitoring and Cerebral Protection StrategiesNeuromonitoring and Cerebral Protection Strategies
Neuromonitoring and Cerebral Protection Strategies
 
Physiological considerations and patient positioning during anesthesia for th...
Physiological considerations and patient positioning during anesthesia for th...Physiological considerations and patient positioning during anesthesia for th...
Physiological considerations and patient positioning during anesthesia for th...
 
Anaesthetic problems of open chest and pathophysiology of one lung ventilation
Anaesthetic problems of open chest and pathophysiology of one lung ventilation Anaesthetic problems of open chest and pathophysiology of one lung ventilation
Anaesthetic problems of open chest and pathophysiology of one lung ventilation
 

Semelhante a Non conventional ventilator modes

Mechanical Ventilation (2)
Mechanical Ventilation (2)Mechanical Ventilation (2)
Mechanical Ventilation (2)Dang Thanh Tuan
 
04 venugopal.
04 venugopal.04 venugopal.
04 venugopal.Duy Quang
 
Basic Of Mechanical Ventilation
Basic Of Mechanical VentilationBasic Of Mechanical Ventilation
Basic Of Mechanical VentilationDang Thanh Tuan
 
modes of ventilation
modes of ventilationmodes of ventilation
modes of ventilationNikhil Yadav
 
INTRODUCTION TO basic MECHANICAL VENTILATION 2.pptx
INTRODUCTION TO basic MECHANICAL VENTILATION 2.pptxINTRODUCTION TO basic MECHANICAL VENTILATION 2.pptx
INTRODUCTION TO basic MECHANICAL VENTILATION 2.pptxAlfredBorden5
 
Mechanical Ventilation.pptx
Mechanical Ventilation.pptxMechanical Ventilation.pptx
Mechanical Ventilation.pptxmusayansa
 
Niv initiation and modes final chandan
Niv initiation and modes final chandanNiv initiation and modes final chandan
Niv initiation and modes final chandanChandan Sheet
 
Airway Pressure Release Ventilation
Airway Pressure Release VentilationAirway Pressure Release Ventilation
Airway Pressure Release VentilationMuhammad Asim Rana
 
modesofventilationppt.pptx
modesofventilationppt.pptxmodesofventilationppt.pptx
modesofventilationppt.pptxJitenLad2
 
Modes of ventilation and weaning
Modes of ventilation and weaningModes of ventilation and weaning
Modes of ventilation and weaningPuppala Bhanupriya
 
Mechanical ventilation منتدى تمريض مستشفى غزة الاوروب
Mechanical ventilation منتدى تمريض مستشفى غزة الاوروبMechanical ventilation منتدى تمريض مستشفى غزة الاوروب
Mechanical ventilation منتدى تمريض مستشفى غزة الاوروبegh-nsg
 
Mechanical Ventilator by Kiran Bhardwaj
Mechanical Ventilator by Kiran BhardwajMechanical Ventilator by Kiran Bhardwaj
Mechanical Ventilator by Kiran BhardwajKiran Bhardwaj
 
Care and basic settings of portable ventilator.pdf
Care and basic settings of portable ventilator.pdfCare and basic settings of portable ventilator.pdf
Care and basic settings of portable ventilator.pdfmohdzulfahmie
 
niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2Manish Masih
 

Semelhante a Non conventional ventilator modes (20)

APRV
APRVAPRV
APRV
 
Mechanical Ventilation (2)
Mechanical Ventilation (2)Mechanical Ventilation (2)
Mechanical Ventilation (2)
 
04 venugopal.
04 venugopal.04 venugopal.
04 venugopal.
 
Non Invasive Ventilation
Non Invasive VentilationNon Invasive Ventilation
Non Invasive Ventilation
 
Basic Of Mechanical Ventilation
Basic Of Mechanical VentilationBasic Of Mechanical Ventilation
Basic Of Mechanical Ventilation
 
modes of ventilation
modes of ventilationmodes of ventilation
modes of ventilation
 
Neonatal Ventilation
Neonatal VentilationNeonatal Ventilation
Neonatal Ventilation
 
INTRODUCTION TO basic MECHANICAL VENTILATION 2.pptx
INTRODUCTION TO basic MECHANICAL VENTILATION 2.pptxINTRODUCTION TO basic MECHANICAL VENTILATION 2.pptx
INTRODUCTION TO basic MECHANICAL VENTILATION 2.pptx
 
Mechanical Ventilation.pptx
Mechanical Ventilation.pptxMechanical Ventilation.pptx
Mechanical Ventilation.pptx
 
Niv initiation and modes final chandan
Niv initiation and modes final chandanNiv initiation and modes final chandan
Niv initiation and modes final chandan
 
Airway Pressure Release Ventilation
Airway Pressure Release VentilationAirway Pressure Release Ventilation
Airway Pressure Release Ventilation
 
modesofventilationppt.pptx
modesofventilationppt.pptxmodesofventilationppt.pptx
modesofventilationppt.pptx
 
Mode of ventilation
Mode of ventilationMode of ventilation
Mode of ventilation
 
Modes of ventilation and weaning
Modes of ventilation and weaningModes of ventilation and weaning
Modes of ventilation and weaning
 
Mechanical ventilation منتدى تمريض مستشفى غزة الاوروب
Mechanical ventilation منتدى تمريض مستشفى غزة الاوروبMechanical ventilation منتدى تمريض مستشفى غزة الاوروب
Mechanical ventilation منتدى تمريض مستشفى غزة الاوروب
 
Mechanical Ventilator by Kiran Bhardwaj
Mechanical Ventilator by Kiran BhardwajMechanical Ventilator by Kiran Bhardwaj
Mechanical Ventilator by Kiran Bhardwaj
 
Care and basic settings of portable ventilator.pdf
Care and basic settings of portable ventilator.pdfCare and basic settings of portable ventilator.pdf
Care and basic settings of portable ventilator.pdf
 
Ventilation_Vikram Singh.pptx
Ventilation_Vikram Singh.pptxVentilation_Vikram Singh.pptx
Ventilation_Vikram Singh.pptx
 
niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2niv-121110032232-phpapp01_2
niv-121110032232-phpapp01_2
 
4- new modes.pptx
4- new modes.pptx4- new modes.pptx
4- new modes.pptx
 

Mais de AnaestHSNZ

Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)AnaestHSNZ
 
Anaesthesia for elective neurosurgery journal (zuhura)
Anaesthesia for elective neurosurgery   journal (zuhura)Anaesthesia for elective neurosurgery   journal (zuhura)
Anaesthesia for elective neurosurgery journal (zuhura)AnaestHSNZ
 
Guidelines mng hemophilia
Guidelines mng hemophiliaGuidelines mng hemophilia
Guidelines mng hemophiliaAnaestHSNZ
 
Mmr presentation anaesth
Mmr presentation anaesthMmr presentation anaesth
Mmr presentation anaesthAnaestHSNZ
 
Disorder of ca metabolism
Disorder of ca metabolismDisorder of ca metabolism
Disorder of ca metabolismAnaestHSNZ
 
Anaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaestHSNZ
 

Mais de AnaestHSNZ (6)

Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)
 
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
 
Mmr presentation anaesth
Mmr presentation anaesthMmr presentation anaesth
Mmr presentation anaesth
 
Disorder of ca metabolism
Disorder of ca metabolismDisorder of ca metabolism
Disorder of ca metabolism
 
Anaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulantAnaesthesia for patient with anticoagulant
Anaesthesia for patient with anticoagulant
 

Último

Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
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 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
 
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
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
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
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
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
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
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
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
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
 

Último (20)

Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
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 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...
 
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 ...
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
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...
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
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...
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
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
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
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...
 

Non conventional ventilator modes