Evaluation of the Clinical Impact of Ultra Fast-Track in Patients Undergoing Cardiac Surgery

Single center randomized clinical trial. The main aim is to demonstrate the superiority at the clinical level of the ultra fast-track programs versus conventional early postoperative extubation in patients undergoing cardiac surgery.

Inclusion Criteria:Patients over 18 years of age.Patients with valvular, coronary or aortic heart disease with an indication for major cardiac surgery.The patient's desire to participate in the clinical trial verified by signing the informed consent.Exclusion Criteria:Pregnancy.Emergent surgery or cardiorespiratory arrest.Patient in preoperative cardiogenic shock, or in need of high-dose vasoactive support.Aortic arch procedures.Procedures in which hypothermia < 28ºC of temperature is expected during the intervention.Minor cardiac surgery procedures.Procedures with minimally invasive techniques without extracorporeal circulation (Transcatheter aortic valve implantation, Transcatheter mitral valve implantation, Minimally invasive mitral valve repair (TOP-Mini), Totally thoracoscopic MAZE procedure, Minimally invasive direct coronary artery bypass grafting).Implantation of circulatory assistance devices or ECMO (extracorporeal membrane oxygenation).Active endocarditis.