Lidocaine with Extubation

If you are looking to blunt laryngeal reflexes so they don't cough, I usually give 1.5-2mg/kg about 20 minutes before I expect them to wake up. Works like a charm. They will be somewhat more sedated though. I don't do it with every case...just those that I don't want to cough and buck...i.e. cranis, etc.

YAY!!! One of my favoritist tricks in my little book!!! About 40-50 mg 5 minutes before i expect them to buck as they are getting lighter (about .5 MAC or BIS is creepin up), when i time it right, it works like a ******* CHARM, but its still an art, too soon delays the awakening, too late doesnt work. Im a newbee CRNA, but those seasoned CRNA's have perfected it, still workin on it!

I consider that it worked, when they are laying perfectly still and I call their name and they simply open their eyes and look at me!