. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. or axillary line; each gives off a lateralcutaneous branch, which pierces the muscles to the subcutaneoustissues and divides into anterior and posterior branches, the anteriorbranch running forward as far as the sternum, the posterior coursingbackward in the skin of this region (Fig. 66). In the intercostalspaces the nerves lie first between the pleura and
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. or axillary line; each gives off a lateralcutaneous branch, which pierces the muscles to the subcutaneoustissues and divides into anterior and posterior branches, the anteriorbranch running forward as far as the sternum, the posterior coursingbackward in the skin of this region (Fig. 66). In the intercostalspaces the nerves lie first between the pleura and internal intercostalmuscle, then between the two intercostals to near the middle of theribs, when they continue their course between the fibers of the in- 281 282 LOCAL ANESTHESIA ternal intercostal muscle. In the midline the nerves of each sideoverlap for some little distance. In the upper and lateroposterior deep cervical arteryright vagus costo-cervical trunk subclavianartery supreme intercostalright recurrent ascending aorta X Ic/t subclavian artery ternal mammary artery \.bronchial arteriesrecurrent nerve pulmonary branches~* of left vagus aerie right bronchus oestivlingrat chordsof left vugus nerve ? aorticntercostalarteries. intercostal- vessels XII intercostal nerve XIIlesser splanchnic coeliac artery X \ superior mesenteric art. X nic nerve ascending lumbar vein Fig. 66.—The large vascular and nervous trunks of the posterior thoracic wall asviewed from in front and somewhat from the right. * = Location of twelfth rib.** = Communication between azygos and hemi-azygos veins. (Sobotta and McMurrich J regions of the thorax the branches of the brachial plexus and supra-clavicular nerves are distributed to these parts. THE THORAX AND BACK 283 In front the supraclavicular nerves send branches to the skin ofthe thorax nearly as far as the nipple; the external or supra-acromialbranches supply the skin on the upper and back part of the shoulder;these branches pass obliquely a
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
