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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]
Esmarch bandage (also known as Esmarch's bandage for surgical haemostasis or Esmarch's tourniquet) in its modern form is a narrow (5 to 10 cm (2.0 to 3.9 in) wide) soft rubber bandage that is used to expel venous blood from a limb (exsanguinate) that has had its arterial supply cut off by a tourniquet. The limb is often elevated as the elastic ...
Game-Maker 3.0, floppy: A three-microfloppy (1.44 MB) package contains the full set of RSD tools, the in-house developed games Tutor, Sample, and Nebula, and three licensed games developed by the independent designer A-J Games: Zark, The Patchwork Heart, and Peach the Lobster. Both packages of version 3.0 include a square-bound 104-page user ...
The first planned spinal anaesthesia for surgery on a human was administered by August Bier (1861–1949) on 16 August 1898, in Kiel, when he injected 3 ml of 0.5% cocaine solution into a 34-year-old labourer. [14] After using it on six patients, he and his assistant each injected cocaine into the other's spine. They recommended it for ...
The axillary block is particularly useful in providing anesthesia and postoperative analgesia for surgery to the elbow, forearm, wrist, and hand. The axillary block is also the safest of the four main approaches to the brachial plexus, as it does not risk paresis of the phrenic nerve, nor does it have the potential to cause pneumothorax. [12]
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The RSD-15 was powered by an ALCO 251 16-cylinder four-cycle V-type prime mover rated at 2,400 horsepower (1.79 MW); it superseded the almost identical ALCO 244-engined RSD-7, and was catalogued alongside the similar but smaller 1,800 hp (1.34 MW) RSD-12, powered by a 12-cylinder 251-model V-type diesel engine. [2]