How to have smooth wake-ups?

CA-1 here. I’m trying to make my wake-ups smoother. I can time a wake up decently without issues, but I keep having about half the patients buck/cough during wake up? Any tips? I’ve thought it was because the tube was too deep, but then I started putting the tube shallower, then they wake up hoarse presumably because the tube was on the cords. I’ve considered pushing lidocaine to prevent bucking/coughing. Would that help?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums