The goal of this clinical trial is to evaluate the clinical effects of ultra-fast-track anesthesia (UFTA) for minimally invasive cardiac surgery (MICS) in adults. It will also learn about the safety and feasibility of Ultra-Fast-Track cardiac surgery(UFTCA).The main questions it aims to answer are:Does UFTCA promote rapid postoperative recovery, reduce postoperative complications and perioperative mortality, and improve the quality of mid- and long-term survival.And does it improve patient satisfaction and reduce healthcare costs. Participants will receive homogenized perioperative management in the cardiac ward, extracorporeal circulation, and postoperative ICU, except for anesthesia extubation time.Furthermore,Participants need complete quality of life scales at 30 days, 90 days, six months, and one year after surgery, separately. Participants in this study are adults who required elective minimally invasive heart valve surgery under extracorporeal circulation.This study will be able to promote rapid recovery while reducing the associated costs and the financial burden on participants.Retrospective big data analysis of perioperative clinical characteristics of patients undergoing minimally invasive heart valve surgery to establish a risk warning model and develop a perioperative management program. The investigators then conducts a randomized group trial comparing the similarities and differences between conventional general anesthesia(CGA) and ultra-fast-track cardiac anesthesia(URTCA) to demonstrate the effectiveness and safety of UFTA in MICS.Finally, building expert consensus.
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tracheal tube extubation time
Timeframe: From the end of the operation to the removal of the tracheal tube,up to 3 days
ICU length of stay
Timeframe: From entry to exit from ICU,approximately 3 days
Post-operative hospitalization
Timeframe: From the end of surgery to discharge, approximately 1 week
Length of hospitalization
Timeframe: From admission to discharge, approximately 2 weeks
complication
Timeframe: From the end of surgery to 1 year after surgery
Unscheduled events
Timeframe: From the end of surgery to 30 days after surgery
The 36-Item Short Form Health Survey(SF-36)
Timeframe: up to 1 year postoperative
expenditure
Timeframe: From admission to discharge, approximately 2 weeks