Ultra-Fast tracking extubation in cardiac surgery is an accepted technique due to improvement in resource utilization. It is not associated with increased postoperative morbidity or mortality. Nevertheless, it significantly reduces costs and resource utilization.A retrospective study of 240 patients operated upon between Jan, 2016 and Jan, 2019. Patients were divided into two groups: Group A, provided ultra-fast-track extubation (n = 120) and group B, provided conventional extubation (n = 120).There was no significant difference between both groups as regard age and body weight. The type of operation and the degree of preoperative pulmonary hypertension were also not significantly different. The post-operative intensive care and hospital stay was significantly less in the fast-track group.Ultra-Fast tracking extubation in cardiac surgery is an accepted technique due to improvement in resource utilization, decreased intensive care and hospital stay without increasing operative morbidity or mortality .