Division of Comparative Biomedicine
Comparative Medicine Rodent Individual Surgical/Anesthetic/Analgesic Record
Florida Atlantic University Page ____of ____
Species:________________ Cage #: _______________ PI: _______________________ Protocol: _____________
Analgesic Plan: (agent, dose, route, frequency):___________________________________________________
|Date | | |
| |Surgical Procedure: |Tech |
| |Pre-op assessment: Weight: | |
| |Anesthetic Regimen (agent, dose, route, frequency): | |
| |Time at Induction of Anesthesia: Cessation of Anesthesia: Full Recovery: | |
| |Surgeon: Technician(s): | |
| |Overall Appearance of animal when released to housing: | |
| |Comments: | |
| | | |
| | | |
| |Post-Procedural Follow-up & Progress Notes | |
| | | |
| |Day 1: - Overall Appearance: | |
| | | |
| |Condition of Surgical Site: Pain: none mild to moderate severe | |
| | | |
| |Analgesic Administration: AM PM | |
| | | |
| |Comments: | |
| | | |
| |Day 2: Overall Appearance: | |
| | | |
| |Condition of Surgical Site: Pain: none mild to moderate severe | |
| |Analgesic Administration: AM PM | |
| |Comments: | |
| | | |
| |Day 3: Overall Appearance: | |
| | | |
| |Condition of Surgical Site: Pain: none mild to moderate severe | |
| | Analgesic Administration: AM PM | |
| | Comments: | |
| | | |
| |Day 4: Overall Appearance: | |
| | | |
| |Condition of Surgical Site: Pain: none mild to moderate severe | |
| | Analgesic Administration: AM PM | |
| | | |
| |Comments: | |
| | | |
| |Day 5: Overall Appearance: | |
| | | |
| |Condition of Surgical Site: Pain: none mild to moderate severe | |
| | | |
| |Analgesic Administration: AM PM | |
| | | |
| |Comments: | |
Abbreviations used: Surgical Site – DCI = dry, clean, intact; Overall Appearance – WNL = within normal limits
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