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Date: Revised July 2006 Guidelines for Anesthetic MonitoringSTANFORD UNIVERSITYThe Administrative Panel on Laboratory Animal Care (A-PLAC)
GUIDELINES FOR SURGICAL ANESTHETIC MONITORING
___________________________ (This form should be modified to meet the requirements of your laboratory. Additionally, some labs find it convenient to note the type/dosage of analgesia that is given immediately post-operatively.) |
| Procedure ________________________________ | Start ___________ | Finish ___________ | |
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| WEIGHT _____ kg | TEMP _____ °F | PULSE _____/min | RESP _____/min | TIME _____ |
| TIDAL VOLUME ________ =15 mls per kg | ||||
| Interoperative fluids (@5-10 mls/kg/hr)= _________ mls/hr=mls/min | ||||
| Drip rate= ________ dps/min | ||||
| IV fluid type_______________ | Endotracheal tube size__________ | Cuffed_______ | ||
| PREANESTHETICS | Agent | Dose Rate | Total Dose | Volume | Time | Effect | |
| _______________________________________________________________ | |||||||
| INHALATION ANESTHETIC |
_______________________________________________________________ | ||||||
| VITALS TAKEN EVERY 15 MINUTES | ||||||||||||||||
| Time | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| O2 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Hal/Meth/Iso (%) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Body Temp | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Pulse Rate | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Respiration Rate | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Blood Pressure | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Positive Pressure | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Ventilation | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| IV Fluids (Volume) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Initials | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Comment No. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | ||
| Comments:
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