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Commonly, there are pulmonary congestion, heart dilatation and insufficient heart contrast filling (venography in the superior sagittal sinus, right external jugular vein), poor inferior caval vein compliance, huge congestion within prominent hepatic veins without parenchymal liver phase (venography through inferior caval vein)

8.7 Renal Impairment Bupivacaine is known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with renal impairment

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