. Regional anesthesia : its technic and clinical application . Fig. 173.—Lateral cutaneous branches of the thoracic nerves. A subcutaneous injectionmade along AB affects only the posterior divisions of these branches. REGIONAL ANESTHESIA to the elements of the deep structures within which it Ues on its waythe from intervertebral foramen to the costal angle is of major impor-. Fig. 174.—Paravertebral dorsal block. The seventh thoracic nerve exposed at its siteof injection. The arrow shows the direction of the needle. tance. On emerging from the intervertebral foramen the thoracicnerve lies midw


. Regional anesthesia : its technic and clinical application . Fig. 173.—Lateral cutaneous branches of the thoracic nerves. A subcutaneous injectionmade along AB affects only the posterior divisions of these branches. REGIONAL ANESTHESIA to the elements of the deep structures within which it Ues on its waythe from intervertebral foramen to the costal angle is of major impor-. Fig. 174.—Paravertebral dorsal block. The seventh thoracic nerve exposed at its siteof injection. The arrow shows the direction of the needle. tance. On emerging from the intervertebral foramen the thoracicnerve lies midway between the transverse processes of two adjacentvertebrae, runs obliquely across the intercostal space toward the angle BLOCKING OF SPINAL NERVES 219 of the rib above it, and enters the subcostal groove. During its coursefrom the intervertebral foramen to the angle of the rib the thoracicnerve is accompanied by the thoracic artery and vein which lie imme-diately above it. The external intercostal muscle, with its fibers runnmg downwardand outward, is stretched across the intercostal space and extends fromthe tubercle of the ribs outward, with little or no aponeurotic attach-ment to the spine; while the internal intercostal muscle, with its fibersrunning downward and inward, stops at about the level of the costalangle and is continued by a thin aponeurosis, called


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