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Rodent Surgery Log
PI:
Date:
Protocol#:
Animal ID:
Species/Strain:
Weight (g):
Pre-emptive Analgesia
Agent:
Dose (mg/kg):
Route:
Time:
Introduction of Anesthesia
Agent:
Dose (mg/kg):
Route:
Time:
Additional Doses of Anesthesia
Agent:
Dose (mg/kg):
Route:
Time:
Fluid Therapy Administered
Type:
Route:
Volume (mL):
Post-operative Analgesia (survival surgery only)
Agent:
Dose (mg/kg):
Route:
Time:
Description of Surgical Procedures (Findings/Complications):________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Surgery Start Time: ________
Anesthetic Monitoring (Document Every 10-15 Minutes)
Time
Toe
Pinch/Reflex
(+/-)
HR
RR
MM
Color
Body
Temp
(C/F)
Comments
Initials
0 min
Surgery End Time: _________
Euthanasia Time (non-survival surgery only): __________
Euthanasia Agent:
Dose:
Route:
UMSOM ACUP Version Date: 02/2015
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