The purpose of this study is to find out if a medicine called dexmedetomidine, given as a nasal spray, can help patients stay calm and comfortable before having a breathing tube placed (intubation). Researchers want to see if using this nasal spray affects blood pressure, heart rate, comfort with the oxygen mask, how quickly the tube is placed, and how sleepy patients become. They also want to check if patients who receive dexmedetomidine need less pain medicine (Fentanyl) during the procedure. Participants will receive either the dexmedetomidine nasal spray or a plain saltwater spray (placebo). Doctors will then measure blood pressure, heart rate, comfort levels, time needed for intubation, sleepiness, and the amount of pain medication used.
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Mean arterial pressure
Timeframe: immediately before premedication and immediately after intubation
Heart rate
Timeframe: immediately before premedication and immediately after intubation
Mask acceptance
Timeframe: Before induction
Intubation duration
Timeframe: during intubation
Sedation Score
Timeframe: Immediately upon arrival to the operating room, before induction of anesthesia
Opioid use
Timeframe: Immediately after intubation