Cardiothoracic & vascular anesthesia
Ultrafast Track Pathway After Low-Risk Cardiac Surgery Enables Intensive Care Unit Stepdown Within 6 Hours: A Feasible Model for Anesthesia-Led Recovery
Authors' conclusion
The UFT protocol including stepdown from ICU within 6 hours after surgery proved feasible and safe to implement in a carefully selected cardiac surgery population and enabled efficient ICU bed turnover without compromising clinical outcomes.
Study context
- Population
- Adults with EuroSCORE II <3% undergoing elective or urgent CABG, aortic valve replacement or mitral valve repair, University Medical Center, the Netherlands
- Participants
- 261 adults
- Exposure
- Ultrafast track (UFT) completion vs no completion
- Successfuln = 209
- Outcome
- UFT completion
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
UFT completion
209
80.1%
Observational data: associations, not effects.
Further findings
Reoperations, successful vs unsuccessful
Hospital LOS
Extubation in the operating room
- Extubated in OR after surgery
- 159 (60.9%)
Postoperative troponin, creatinine, drain output
- Lower in successful patients
Mortality
- Deaths within 30 days
- 0
- Alive at follow-up
- 97%
Safety
- Reintubations (12 for reoperation, 1 for respiratory insufficiency)
- 13
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Ultrafast Track Pathway After Low-Risk Cardiac Surgery Enables Intensive Care Unit Stepdown Within 6 Hours: A Feasible Model for Anesthesia-Led Recovery. J Cardiothorac Vasc Anesth. Published 11 December 2025. doi:10.
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