Small Animal Anesthesia Record Template printable pdf download

Small Animal Anesthesia Record Template

SMALL ANIMAL ANESTHESIA/POST‐PROCEDURAL MONITORING RECORDS

1. In mice and rats (as well as fish, amphibians, reptiles and birds) the following

information needs to be recorded for prolonged and/or injectable anesthesia

a. Date

b. Principal Investigator

c. Animal Protocol number

d. Animal ID

e. Species

f. Weight

g. Procedure

h. Agent(s) used, dosage, route of administration

i. Time of induction of anesthesia

j. Time of recovery from anesthesia

2. Post‐anesthesia monitoring should be performed until the animal is ambulatory (able to stand

and walk). No animal should be returned to OAR animal facilities until they are ambulatory.

3. For surgical procedures record the following in addition to what is listed in above.

a. Post‐operative monitoring‐ must be done at least daily (including weekends and

holidays) for the first 5 days unless otherwise stipulated in the IACUC approved animal

protocol

i. Date

ii. Time

iii. Brief description of the animal’s health status and surgery site appearance

b. Analgesia (for each administration)

i. Date

ii. Time

iii. Dose

iv. Route

c. Date when wound clips, staples or sutures are removed, if applicable

4. The template on the next page is an example for recording anesthesia and post‐surgical

monitoring for rodents. You may use the form for anesthetic records OR combined anesthetic

and surgery records. Alternatively you can develop your own form or edit this one to fit your

needs. Whatever form is used, it must contain all of the informational elements noted above.

Small Animal Anesthesia Record Template