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University of California, San Diego - Animal Care Program
Anesthetic Record
DATE:
PI:
PROCEDURE:
PROTOCOL:
SPECIES:
SURGEON/CLINICIAN:
ANIMAL ID:
WEIGHT:
kg ANESTHETIST:
PRE-ANESTHETIC DRUGS
Drug
Dose (mg)
Route
ANESTHETIC INDUCTION
Time
Drug
Dose (mg)
Route
ENDOTRACHEAL TUBE
Time
Size (mm):
SYSTEM
CIRCLE
NON-REBREATHING
FLUIDS
Total Fluids
ISOFLURANE
O2 (L/Min)
:00
TIME
Blood Pressure
v systolic
- mean
^ diastolic
Ventilation Rate
○
Heart Rate
●
Start/End
Anesthesia
x
Start/End
Surgery
Ө
Body Position
ETCO2
SPO2
Temperature
:15
:30
:45
:00
:15
:30
:45
:00
:15
:30
:45
150
150
140
140
130
130
120
120
110
110
100
100
90
90
80
80
70
70
60
60
50
50
40
40
30
30
20
20
10
10
Post-Op
Temperature
University of California, San Diego - Animal Care Program
Time Off Ventilator
Time Extubated
Time of Sternal Recumbancy
Comments:
Anesthetic Record (page 2)
Time Returned to Cage / Kennel
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