You can safely delete all but the latest package that matches the pattern linux-image-2.6.32-[0-9][0- 9]-server. Leave linux-image-2.6.32-45-server on your system because you will need it to reboot!
$ dpkg -l linux-image*
Name Version Description
========================================================================================================== un linux-image <none> (no description available) un linux-image-2.6 <none> (no description available) ii linux-image-2.6.32-21-server 2.6.32-21.32 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-37-server 2.6.32-37.81 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-38-server 2.6.32-38.83 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-39-server 2.6.32-39.86 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-40-server 2.6.32-40.87 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-41-server 2.6.32-41.91 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-42-server 2.6.32-42.96 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-43-server 2.6.32-43.97 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-44-server 2.6.32-44.98 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-2.6.32-45-server 2.6.32-45.104 Linux kernel image for version 2.6.32 on x86_64 ii linux-image-server 2.6.32.45.52 Linux kernel image on Server Equipment.
2. Identify the kernel version you are currenlty running
DON'T delete this kernel image! And if it's not the latest, don't delete the latest one either.
$ uname -r 2.6.32-45-server
3. Delete the old kernels.
Removing the old kernels is the same as removing any other package. I'm using shell expansion for the version numbers to save typing. It will prompt you with a list of packages that will be removed, so you can double check the list before continuing.
4. Remove dependencies. There are some dependencies left on the system after removing the old kernels. Fortunately, you can easily clean these up, too.