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A high dose of local anesthetic, typically lidocaine or prilocaine without adrenaline, [6] is slowly injected as distally as possible into the exsanguinated limb. The veins are filled with the anesthetic, with the anesthetic setting into local tissue after approximately 6–8 minutes, after which the surgery, reduction , or manipulation of the ...
In 1908, Bier pioneered the use of intravenous regional anesthesia, [2] [3] a technique which is commonly referred to as a "Bier block". [4] This technique is frequently used for operations of brief duration upon the hand, wrist, and forearm. It can also be used for operations of brief duration upon the foot, ankle, and leg. [2] [3]
Model Build date Total produced Wheel arrangement Prime mover Power output Image 60-ton: 1924–1928: 26: B-B: Ingersoll-Rand 10 in × 12 in (254 mm × 305 mm): 300 hp (220 kW) 100-ton
The ALCO RSD-1 is a diesel-electric locomotive built by the American Locomotive Company (ALCO). This model was a road switcher type rated at 1,000 horsepower (750 kW) and rode on three-axle trucks , having a C-C wheel arrangement.
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This locomotive, classified by ALCO as model DL-701, was their first high-horsepower road switcher, [1] intended to be a replacement for the very popular RS-3 road switcher. Featuring a V-12, 1,800 hp (1,300 kW) 251B diesel engine, the RS-11 was ALCO's answer to EMD's very successful GP9 .
The Alco DL531, also known as the RSD8 is a model of railway locomotive manufactured and operated in various countries.. A total of 212 were manufactured in Australia between 1959 and 1970 by that country's American Locomotive Company licensee AE Goodwin, Auburn.
[2] [3] [4] Perhaps one of the earliest examples of the RS3m is the former Missouri-Kansas-Texas Railroad's RS3m fleet. Built in the early 1950s by ALCO, the Katy had them rebuilt in the late 1950s by ALCO competitor, EMD, who rebuilt them with GP9 long hoods to make room for the larger EMD 567 prime movers. [5]