Had one of these today. 41 y/o male, mild GERD. No meds. Lido, Prop, Sux induction with an LTA. Ran on Des 6-7 and 50/50 O2/N2O. Got him spontaneously breathing near the end. Titrated in a total of 150 mcg fentanyl for RR of 14-16. End of case, all gas off, O2 up. Dropped an OG suctioned stomach and mouth. Wakes up coughing. Blood coming out of his nose and mouth. Surgeon comes back in and looks in nose and mouth and says pt is ok.

I guess my question is there a better way to wake these patients up without them bucking and bleeding?