Non-Surgical Procedures/Anesthesia/Monitoring
Date: _____________
AP#____________
Species___________
PI: _______________
Procedure: ____________________________
Animal IDs/Weights_____________________________________________________
Anesthesia:
Drug_____________________________________
Dose/Route_____________________________
Time of Induction_________________________
Time of Recovery_________________________
Post-Procedure Monitoring (please consult Animal Protocol to verify monitoring
schedule): _____________________________________________________
Notes:
Date: _____________
AP#____________
Species___________
PI: _______________
Procedure: ____________________________
Animal IDs/Weights_____________________________________________________
Anesthesia:
Drug_____________________________________
Dose/Route_____________________________
Time of Induction_________________________
Time of Recovery_________________________
Post-Procedure Monitoring (please consult Animal Protocol to verify monitoring
schedule): _____________________________________________________
Notes:
PLEASE NOTE: This form is NOT to be used
for survival surgical procedures.
This form is to record the use of an injectable
anesthetic (e.g., ketamine/xylazine, pentobarbital),
used for a non-surgical procedure, from which the
animals recover.
It is not necessary to fill out a section for each
individual animal. Serial procedures can be noted
on one section (e.g., started anesthesia on 5 mice at
8:00 am, all up and recovered by 10:00 am).
Documentation is not required when a gas
anesthetic is used (including CO2/O2) that takes less
than 1 minute from which to recover. However,
animals must be continuously observed until they
are conscious from the gas anesthesia.
If there are any questions regarding the use of this
form, please call the IACUC Training & Compliance
Coordinator at 335-9687.