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In Reply-We thank Uda et al. for their comments. We would like to mention that we also read their study with interest. First, our study was planned according to the studies in which the incidence o f pain when propofol was injected at 4°C or 37°C was less than that of pain when propofol was injected at room temperature. So we kept the propofol at 4°C and 3 7 T , as described by McCirrick and Hunter' and Fletcher et al. ,2 respectively. Second, whatever the cause of pain in veins, the perception of pain is the same because of the polymodal nociceptors that transmit their information via A6 fibers'; to abolish the injection pain of propofol, a method that can block A6 fibers must be used. Unfortunately, we do not think that propofol at 4°C or 37°C has such an effect. So we do not think that the effect of changes in the temperature of propofol are relevant.

Fastrach Uses a Low-volume, High-pressure Cuff for the Endotracheal Tube System