The synthetic division table is:
$$ \begin{array}{c|rrrr}-4&1&0&-19&-18\\& & -4& 16& \color{black}{12} \\ \hline &\color{blue}{1}&\color{blue}{-4}&\color{blue}{-3}&\color{orangered}{-6} \end{array} $$The solution is:
$$ \frac{ x^{3}-19x-18 }{ x+4 } = \color{blue}{x^{2}-4x-3} \color{red}{~-~} \frac{ \color{red}{ 6 } }{ x+4 } $$Step 1 : Write down the coefficients of the dividend into division table. Put the zero from $ x + 4 = 0 $ ( $ x = \color{blue}{ -4 } $ ) at the left.
$$ \begin{array}{c|rrrr}\color{blue}{-4}&1&0&-19&-18\\& & & & \\ \hline &&&& \end{array} $$Step 1 : Bring down the leading coefficient to the bottom row.
$$ \begin{array}{c|rrrr}-4&\color{orangered}{ 1 }&0&-19&-18\\& & & & \\ \hline &\color{orangered}{1}&&& \end{array} $$Step 2 : Multiply by the number on the left, and carry the result into the next column: $ \color{blue}{ -4 } \cdot \color{blue}{ 1 } = \color{blue}{ -4 } $.
$$ \begin{array}{c|rrrr}\color{blue}{-4}&1&0&-19&-18\\& & \color{blue}{-4} & & \\ \hline &\color{blue}{1}&&& \end{array} $$Step 3 : Add down last column: $ \color{orangered}{ 0 } + \color{orangered}{ \left( -4 \right) } = \color{orangered}{ -4 } $
$$ \begin{array}{c|rrrr}-4&1&\color{orangered}{ 0 }&-19&-18\\& & \color{orangered}{-4} & & \\ \hline &1&\color{orangered}{-4}&& \end{array} $$Step 4 : Multiply by the number on the left, and carry the result into the next column: $ \color{blue}{ -4 } \cdot \color{blue}{ \left( -4 \right) } = \color{blue}{ 16 } $.
$$ \begin{array}{c|rrrr}\color{blue}{-4}&1&0&-19&-18\\& & -4& \color{blue}{16} & \\ \hline &1&\color{blue}{-4}&& \end{array} $$Step 5 : Add down last column: $ \color{orangered}{ -19 } + \color{orangered}{ 16 } = \color{orangered}{ -3 } $
$$ \begin{array}{c|rrrr}-4&1&0&\color{orangered}{ -19 }&-18\\& & -4& \color{orangered}{16} & \\ \hline &1&-4&\color{orangered}{-3}& \end{array} $$Step 6 : Multiply by the number on the left, and carry the result into the next column: $ \color{blue}{ -4 } \cdot \color{blue}{ \left( -3 \right) } = \color{blue}{ 12 } $.
$$ \begin{array}{c|rrrr}\color{blue}{-4}&1&0&-19&-18\\& & -4& 16& \color{blue}{12} \\ \hline &1&-4&\color{blue}{-3}& \end{array} $$Step 7 : Add down last column: $ \color{orangered}{ -18 } + \color{orangered}{ 12 } = \color{orangered}{ -6 } $
$$ \begin{array}{c|rrrr}-4&1&0&-19&\color{orangered}{ -18 }\\& & -4& 16& \color{orangered}{12} \\ \hline &\color{blue}{1}&\color{blue}{-4}&\color{blue}{-3}&\color{orangered}{-6} \end{array} $$Bottom line represents the quotient $ \color{blue}{ x^{2}-4x-3 } $ with a remainder of $ \color{red}{ -6 } $.