Those oh so smooth wakeups... what's your secret?

How do you get the smooth wakeups? What are you doing with regards to vent settings, gas, opiods, adjuncts, etc? When are you doing it? What's your thought process? Please, give me the secrets. I'm talking everything from the ENT "Oh, don't blow my flap!" cases to the lap chole "Oh, this anesthesiologist is just not that good because their patients always cough or buck when they wake up!" cases.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums