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SURGERY/POST OPERATIVE REPORT
After Hours Emergency Phone #: Lab #:
Date Species Sex Room #
Surgeon(s) P.I. on Protocol _____________________
Number of Animals to be Used: Protocol (IACUC) #__________________
Procedure Performed
Premeds (Dose and Route)
Time Given Anesthetic Agents (Dose & Route) Time Given
Fluids given after procedure?: (volume & route)
Analgesics Given: (Dose and Route)
Condition post procedure: Good Fair Poor Euthanized Drug (Dose & Route)
Date sutures, clips and/or staples are to be removed:
Animal ID
Weight
(g)
Anesthetic
(dose /time)
Procedure
Completed
(time)
Animal
Recovered
(Time)
Comments/Problems


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