Patient a healthy 39 year old female with choelcystitis, presents for lap chole. PMH no NKDFA, no previous surgeries, no home meds, tobacco abuse. Height and weight appropriate.

Standard case 6 mg vec used on induction easy airway, uneventful case. Pt received tordol 30 IV with 350 fentanyl intra op. Reversal with 5/0.8 pt breathing spontaneously 16 times a minute with adequate tidal volume give 100 mcg of fent, (low pain tolerance) extubate, all is well but pt then has laryngospasm that will not break with PP sats drop to 40% 40 mg sux given pt easy to ventilate, pt now stays relaxed for the next 2 hours, thoughts?