Early extubation, also known as fast track, is desirable after intracranial hematoma surgery to avoid ventilator-associated complications associated with admission to an intensive care unit (ICU). The objective of the present study was to determine whether ICU stay and ventilator-associated complications are reduced in patients who received surgery for intracranial hematoma if they are extubated early. A total of 17 patients were randomly assigned to two groups: In Group 1, patients were extubated early or using the fast track method, while those in Group 2 were conventionally extubated at a later stage and were managed at the ICU. Patients from both groups were assessed on admission to the operating room per the established standards and after the selection criteria had been confirmed, general anesthesia was applied. Extubation time and hemodynamic stability (number of anesthetic adjustments required to maintain hemodynamic parameters within 20% of the predicted values) were assessed post-operatively. Patients in the conventional group (n=10) were transferred to the ICU and extubated at 8 h post-operatively; hemodynamic stability and the presence of complications were evaluated. The fast track group had no complications associated with ventilation or any other parameter. All patients extubated in a conventional manner and who were transferred to the ICU presented with complications, including seizures, aspiration, atelectasis or failed extubation. In the future, fast track should be regarded as a routine technique in patients who meet the required criteria, so that they may be discharged quickly and with fewer complications. The present study was authorized by the ethics committee of the hospital and the research sub-directorate with the number AN14-003; it was submitted to and approved by the ISRCTN registry for clinical trials (ID, ISRCTN16924441).

Introduction: Management of the airway is one of the challenges in anesthesiology; multiple devices and techniques have been developed to manage it, preventing a catastrophic outcome for the patient in different scenarios. Objective: The objective of the study was to demonstrate that our modified laryngoscope, using a cell phone as a screen monitor, is useful and safe in the management of the adult patient's airway. Materials and methods: This was a descriptive, observational, and prospective study, using the modified laryngoscope for intubation in 139 elective patients, with airway check-up, intubation time measurement, number of attempts, observed Cormack-Lehane, percentage of glottis observed (POGO) scale, and adverse events registry. Results: There were 138 patients with successful intubations and one failure. Of these, 66.1% were female, and 33.9% were male, 92% were intubated on the first attempt. About 61% were intubated in 30 s or less and 35% in <1 min, visualization of the glottal ring was 82%, 72% of which were recorded as Cormack-Lehane I, and with POGOs of 100%, the burp maneuver was used to assist in 38%. Conclusions: The device proved to be useful and safe in the management of the patient's airway, with a success rate of 92% in the first attempt.

Introduction:The incidence of post-operative pain is between 46% and 53% due to a lack of the use of analgesics. Up to 30-50% of operated patients present moderate-to-intense pain in the post-operative period. Objective: The objective of this study was to evaluate pain in the immediate post-operative period and to identify its association with schooling, surgery, anesthesia, and analgesia. Materials and methods: An observational, descriptive, and transversal study was carried out with a sample of 158 patients between 18 and 90 years old, in both genders of the recovery area. Inclusion criteria: Age 18-90 years, previous or post-surgical hospitalization, patients in the recovery area, and outpatients were included in the study. Exclusion criteria: Glasgow < 14 points and/or psychiatric patients were excluded from the study. A survey was conducted. Results: Our sample was 49.4% male and 50.6% female; 55 patients underwent abdominal surgery, 23 underwent trauma surgery, 22 underwent urological surgery, 19 underwent head surgery, 17 underwent gynecological surgery, 15 underwent reconstructive surgery, 4 underwent thoracic surgery, and 2 underwent vascular surgery. The incidence of pain was 45.6%. Of the total, 93.1% presented visual analog scale < 4. Conclusions: Almost half of the patients presented pain in the post-operative period; however, the pain was mild. There was a direct relationship between schooling and level of pain referred to by the patient. Less pain was reported with combined analgesia and, compared to other studies, there was a lower incidence of acute pain.