I am a Thoracic Surgeon. As part of my clinical activities, I perform Bronchoscopies frequently. Many times, these Bronchoscopies are performed on awake patients, making the analgesia and topical anesthesia essential. The quality and extent of the anesthesia produced by topical agents correlates completely with both the adequacy of the examination performed as well as the patient’s comfort and willingness to undergo a repeat procedures. I have utilized Cetacaine spray as standard and primary agents during these procedures. I’ve been able to examine Bronchoscopically nearly a thousand awake patients over many years without using IV sedation whatsoever. IV sedation leaves the patients with diminished sensorium. Not using it and relying only on topical agents is truly beneficial to my patients, and is achieved primarily by Cetacaine.