We thank Dr. Stemp for his interest and for providing relevant references to an old literature that is not easily accessible. The cautionary statement alluded to by Dr. Stemp was added at the request of the Editor-in-Chief. We were, and still are, in agreement with the statement, even if not supported by a reference. It may well be, however, that high spinal anesthesia combined with modern monitoring tools could prove highly beneficial for selected patients. We certainly never had any intention of discouraging prudent inquiries on this topic.