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Performing this block requires ultrasound experience.
Needle visualization plays a major role in achieving a successful block.
Epidural spread can occur from a unilateral injection.
Patients who undergo operative procedures of the chest and upper abdomen.
Unilateral coverage as thoracotomies, cholecystectomy, mastectomies, and other urological procedures with preservation of the pulmonary functions.
Inadequate or unsuccessful epidural placement where bilateral catheters are placed.
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