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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 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 ...
2 1613, 1624 RS-3s rebuilt by Alco in March 1960 as RS-11 with a 251-B engine but retained RS-3 high short hood. [4] Delaware and Hudson: 12 5000-5011 Duluth, Winnipeg and Pacific: 15 3600-3614 Erie Mining: 15 300-314 Ferrocarril del Pacifico: 1 1501 Ferrocarriles Nacionales de México: 94 7200-7293 Green Bay and Western: 1 309 Lehigh Valley ...
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 ]
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The RSD-15 was powered by an ALCO 251 16-cylinder four-cycle V-type prime mover rated at 2,400 horsepower (1.79 MW); it superseded the almost identical ALCO 244-engined RSD-7, and was catalogued alongside the similar but smaller 1,800 hp (1.34 MW) RSD-12, powered by a 12-cylinder 251-model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]
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.