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In July/2018, 94% of the surgeries were performed under SA, and 64.7% of the patients were extubated in the OR (P=0.0. The OIT on arrival at the intensive care unit to extubation, comparing July/2017 to July/2018, was 5.3±5.3 hours in the GA group vs. 1.7±3.9 hours in the SA group (P=0.04). The adoption of SA in CS increased the frequency of extubations in the OR and decreased OIT and MV time. The adoption of SA in CS increased the frequency of extubations in the OR and decreased OIT and MV time.COVID-19 brought out the critical issues