I would rather add the c option in cases where I'm not 100% sure what I'm doing.
So in this case :'<,'>s/_b/B/c
That let's you step through every change and if something's wrong you can press ESC and u to undo only the last change.
It depends on the actual problem of course, but multicursor edits also get unwieldy if you're editing more than 2 or 3 lines.
What about if the lines are beyond the visible screen?