I use Cetacaine® Topical Anesthetic spray in my practice on a regular basis. It helps to decrease sensitivity of oropharynx before airway manipulation in situations like awake fiber optic intubation. It's also very useful for transesophageal echocardiography or EGD performed under sedation. It allows me to minimize the amount of intravenous anesthetics and analgesics used while keeping the patient comfortable throughout the procedure. Having this local anesthetic in a spray form and ready to be administered any time is very convenient and allows me to minimize preparation time.