Combined Laryngospasm and Bronchospasm during Procedural Anesthesia

the procedure, the resident surgeon-anesthetist presented their case to the attending surgeon and obtained permission to initiate deep sedation and surgery.The emergency medications and supply kit were brought into the procedure room.Consents, medication reconciliation, and time out protocol were completed per institution protocol.The patient reported he was very nervous for surgery, especially for the intravenous access and became visibly diaphoretic before starting.A cold compress was placed to forehead and the patient was positioned to his comfort.The patient then reported nausea.An intravenous catheter was placed, and the patient was administered Zofran 4mg, supplemental oxygen was applied at 3LPM via nasal cannula.Bluetooth precordial stethoscope was connected and remained