The reinforcement of anesthesia by an epidural “top-up” in combined spinal-epidural anesthesia may be explained by a dual mechanism: a volume effect compressing the dural sac and a local anesthetic effect.
There was no hospital, or any accommodation for the sick men. Each mate nursed his fellow, and some strikingly pathetic touches of devotion were shown here and there amongst them.
Among the waltzings, and the droppings, and the swarmings of the sounds, Pierre now heard the tones above deftly stealing and winding among the myriad serpentinings of the other melody: […]
The paving downstream consisted of 18x18x8-inch blocks laid on edge over a brick base which in turn was underlain with a gravel or brick chip filter. Since there was some controversy as to whether an underfilter was necessary, the first test was made with the filter omited.
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