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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]
The ALCO RSD-5 is a diesel-electric locomotive rated at 1,600 horsepower (1.2 MW), that rode on a pair of three-axle trucks, having a C-C wheel arrangement.. Basically an upgraded version of the earlier ALCO RSD-4, and used in much the same manner as its four-axle counterpart, the ALCO RS-3, the six-motor design allowed better tractive effort at lower speeds.
The ALCO RS-2 is a 1,500–1,600 horsepower (1,100–1,200 kW) B-B diesel-electric locomotive built by the American Locomotive Company (ALCO) from 1946 to 1950. ALCO introduced the model after World War II as an improvement on the ALCO RS-1. [2] Between 1946 and 1950, 377 examples of the RS-2 were built, primarily for American and Canadian ...
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
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The ALCO RSC-2 was a diesel-electric locomotive that rode on three-axle trucks, having an A1A-A1A wheel arrangement. 91 locomotives were produced — Used in much the same manner as its four-axle counterpart, the ALCO RS-2 , though the wheel arrangement lowered the axle load for operation on light rail such as are found on branch lines .
The RSD-15 was powered by an ALCO 251 16-cylinder four-cycle V-type prime mover rated at 2,400 horsepower (1.79 MW); it superseded the almost identical ALCO 244-engined RSD-7, and was catalogued alongside the similar but smaller 1,800 hp (1.34 MW) RSD-12, powered by a 12-cylinder 251-model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.