Anesthesia Deep Extubation
Get them on gas, at least 1 MAC. You want to suction well, ensure they do not react to stimuli, but also breathing on their own regularly. Pull out LMA. Monitor closely as they breath off the gas. Patients can obstruct, laryngospasm, or bronchospasm. Have propofol and paralytic ready (roc or sux) as well as oh-shit medications.