Inclusion Criteria:  Cardiac surgery (isolated coronary artery bypass grafting or combined with single valve surgery, isolated single valve surgery) Gastrointestinal surgery (colorectal, pancreatic, gastric surgery). Vascular surgery (open and endovascular aortic surgery, peripheral vascular surgery) Lung surgery (pneumonectomy,(bi)(sleeve)lobectomy or segmentectomy)  Exclusion Criteria:  Age < 18 years Pregnancy Emergent surgery No informed consent