For you thoracic epidural guru's: Walk some of us less capabable little people through how you do your thoracic epidurals. Please, go into detail. My questions to you: Do you use a midline or paramedian approach? What land marks do you use? How does the ligamentum flavum at the thoracic level feel compared to the lumbar space? How many cm deep do you expect to hit the epidural space...and at what angle? Do you use air or saline? What is your usual dose? Post-operative management (medication, rate, etc.) Anything else you can think of......I want to know everyones tricks and pet peeves.