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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