ABSTRACT

The objective for emergence is to have the patient awake with adequate spontaneous ventilations as soon as possible. Many of the same concerns for induction are repeated in emergence. In addition, any continuing bleeding into the pharynx can precipitate laryngospasm. The usual technique is to insure adequate reversal of all muscle relaxants. If nitrous oxide was used, that agent is discontinued 5-10min prior to estimated end of surgery. The anesthetic is continued with volatile agent or propofol and 100% oxygen. As the volatile agent is discontinued, the patient is allowed to resume spontaneous ventilation.