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Abstract Early extubation of children after cardiac surgery has been suggested as a safe alternative to prolonged postoperative intubation. Early extubation is an essential stage in the ”fast-track” protocol. Early extubation protect against the deleterious effects of mechanical ventilation such as laryngotracheal trauma, barotrauma, pneumothorax, mucus plugging in the endotracheal tube, incorrect positioning, kinking of the tube, accidental extubation and ventilator associated pneumonia. In the last 15 years, a new imaging application of sonography has emerged in the clinical arena: lung ultrasound (LUS). from its traditional assessment of pleural effusions and masses, LUS has moved towards the revolutionary approach of imaging the pulmonary parenchyma, mainly as a point-of-care technique. This study uses lung ultrasonography as a new method in prediction of fast track extubation and excluding pulmonary complications that still have high incidence after pediatric cardiac surgeries. The study shows high significance of lung ultradound in prediction of pulmonary complication and fast track extubation |