In Reply:

—We thank Dr. Mackenzie for his comments. The reason we submitted this article for publication was to share our experiences with this simple and effective means of aerosolizing lidocaine for topical airway anesthesia. Despite an extensive search of the literature, we were not able to find a technique similar to that described in our report, and it would be such a loss to keep this method to ourselves because “it really works!” We appreciate very much that Dr. Mackenzie called to our attention the similar device he and Dr. D. Tran had developed previously.