Rodent Anesthesia Record
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Date
This form is intended for non-surgical anesthetic procedures
Records of anesthetic procedures lasting longer than 15 minutes are to be retained by the lab/core for one year and available for IACUC review
PI/Protocol #
Procedure Name
Comments/complications (date, animal ID and comment):
Cage ID or
Animal ID
Anesthetic Agent/Dosage
Eye lube/ toe
pinch/heat
provided?
Anesthesia
monitoring
conducted
per protocol?
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Procedure
Start and Stop
time
Initials