Page: of: Animal ID ID Date Project # Anesthetist √ (initial) Weight: Age: Sex: Housing location: Procedure: Surgeon: Investigator: Drug Dose Route Time Given ET Tube size:_________ Circle Temperature Respiratory Rate Intubation time:________ Heart Rate Extubation time:_______ SPO2 IVC size and location: NIBP Ventilator ___________________ ETCO2 BP cuff size and location: ECG Mask Procedure start time: Procedure end time: IBP _____________________ Time 00 15 30 45 00 15 30 45 00 15 30 45 00 Fluids and CRIs Fluid totals mL/mg mL/mg mL/mg mL/mg mL/mg 4.0 4.0 3.0 3.0 2.0 2.0 Circle one: 1.5 1.5 1.0 1.0 Iso% 0.5 0.5 Sevo % O2 (L/min) Temperature Symbols: v Systolic 280 280 260 260 + Mean 240 240 ^ Diastolic 220 220 200 200 . Pulse 190 190 180 x ETCO2 180 170 170 O Breaths 160 160 150 A Assisted 150 140 140 C Controlled 130 130 * SpO2 Epidural 120 120 Nerve block 100 100 90 90 80 80 Procedure 70 70 60 60 50 50 40 40 30 30 20 20 10 10
Page: of: Drug Dose Route Time Given Circle Ventilator Mask Temperature Respiratory Rate Heart Rate SPO2 NIBP ETCO2 ECG IBP ET Tube size:_________ Intubation time:________ Extubation time:_______ IVC size and location: ___________________ BP cuff size and location: _____________________ Procedure start time: Procedure end time: Animal ID √ ID (initial) Date Project # Anesthetist Weight: Age: Sex: Housing location: Procedure: Surgeon: Investigator: Time 00 15 30 45 00 15 30 45 00 15 30 45 00 Fluids and CRIs Fluid totals mL/mg mL/mg mL/mg mL/mg mL/mg Circle one: Iso% Sevo % 4.0 3.0 2.0 1.5 1.0 0.5 4.0 3.0 2.0 1.5 1.0 0.5 O2 (L/min) Temperature Symbols: v Systolic + Mean ^ Diastolic . Pulse x ETCO2 O Breaths A Assisted C Controlled * SpO2 Epidural Nerve block Procedure 280 260 240 220 200 190 180 170 160 150 140 130 120 100 90 80 70 60 50 40 30 20 10 280 260 240 220 200 190 180 170 160 150 140 130 120 100 90 80 70 60 50 40 30 20 10
Anesthetic-Record-1-ksl.docx