WPC ՉX*( \4C$ܤzڟ*^Uy]@:OHz֖͐}u-nn*TU[^/qٚ$4*mUF<q&(2 y+{9K6 p@xolZ[傰n^vqm`slK [Qq:r'ۈ2BtI{/zhvQK|(B[e=Ψʫk?IM&$&"\h+q5i¸:2B[,0c, OCiP<6X>ê՚R5[7&E'HI;W`@7I:칫mlxUC`Vx;]K!QrOP2i*:Ll.}!8JGc3mw1SSET!M 5.Y3 ?uNeQp\;1 x&ƌ/a_>Pe@ZLU *(R 0U, 0 U2 0R 0h2 U>  0 0o 0(@ D4+h AQU* B A@ zo@ o@ o@ o%U2 D1f a @ o)fa BZ@ o@ horfaf a  B+J 0Z#UN %'M-(1NYf[a]]]]]]]]]]]]^ qqqqw}4 m\  `Times' Surgery Report RARC0elmer .   Hj [4Heading 1Heading 1XXXA $MonacoA   XXX?\  `Times? $MonacoH 4Heading 2Heading 2G22A`Gill SansG    >44 <DL!T$>      8.4 <DL!T$8?\  `Times? 22A`Gill SansHw 4Heading 3Heading 3G22A`Gill SansG   $    8.4 <DL!T$8?\  `Times? h:Default ParaDefault Paragraph Font\  `&Times New Roman Level 1 Level 2 Level 3 Level 4 Level 5(2$ 0!9..      2X'IXX2XX'IXX2X'I  (2$ 0!9..      2X'IXX2XX'IXX2X'I  ($'dxd C<< c   "..      2X'IXX2XX'IXX2X'I  _*78 addd Xdd Xdd X,6ss+  :' }:UWID#__________USDA#_____________  SPECIES:_________________SEX:______  Investigator:_________________________  Protocol#:___________________________3)'dd }  3[9\  `Times d&Draw Object <<=8C HKKKK WPCE"'"x513%)+22.- < "< WPCE"'"x513%)+22.- < "< WPCE"'"x513%)+22.- < "< WPCE"'"x513%)+22.- < "<Kr`Wingdings)1 dxdTable_B" WPC4!!x513%)+22.- < <Table_C d' WPC3!!x513%)+22.- < <) WPC!|f!^513%)+.- /H!/Table_DTable_E'Single1  d#|x($9..      2X'IXX2XX'IXX2X'IAdobe PDF 0(@ Z6Times New Roman Regular2XTable_A[2  \2:i+00U 0!9..      2X'IXX2XX'IXX2X'I  _       XX'IXXX'IX!XXX'I    & T)    X'IXXX!SurgeryReport`  <Ԍ  Ќ X'IXX X'IX'IXX X'I   X'IXXX'I ZJFzx p @X@Eccdc '$'$$$Date: _______________  | SurgicalProcedure:_____________________  H _____________________________________  . ~ Surgeon(s):___________________________   d _____________________________________   J Assistants:____________________________   0 _____________________________________  $       dd$$ '$'$ddH44 <DL!T$XHn^Z$~3'"xp@"0!2d! '"xE'"x'"x\"  $$'$'$ PreoperativePhysicalExam:T:__________P:___________R:___________BodyWt. _____________  x   _Premedication_(s)drug,dose,androuteofadministration:_______________________________________ D  __________________________________________________________Time_____________________ *z  Induction(basal)Anestheticdrug,dose,androuteofadministration:_____________________________ F __________________________________________________________Time_____________________ , MaintenanceAnestheticdrug,dose,androuteofadministration:________________________________  __________________________________________________________Time_____________________  _Endotracheal_ԀTubeSize:________________ Z SurgeryStartTime:_______________SurgeryEndTime:_________________ &v n^Z$~'"xp@"0!2d! '"xE'"x'"x\J"DescriptionofSurgicalProcedureandFindings: B n^Z$~@'"xp@"0!2d! '"xEH%'"x'"x\%"PostoperativeCare: %>!% Time_extubated_:__________________Timesternalrecumbent:_______________________ ' #' Supportivetherapy/_meds_:________________________________________________________________ )$) _____________________________________________________________________________________ l*%*  H.4 <DL!T$XH H44 <DL!T$XHn^Z$~'"xp@"0!2d! '"xER,'"x'"x\8,"SurgeonsSignature:_____________________________________'T)T  -n(-  SurgeryRecord   <      D 0    Date:___________________$$     4     4    <      D     RoomNumber:___________ | ̀Surgeon:____________________ H    4 Animal(s):___________________  d    4 SurgicalProcedure:___________________  0    4  (ProtocolUsed;seeAppendix)       4  D   ӀObservations: `     4  (e.g.,unusualbleeding,respiration,oranestheticresponse) F    4 Treatment: &v    4  (e.g.,antibiotics,fluids)  \    4 _Postsurgical_Ԁrecoverytimeonwarmplate:________________ <#"    4 Personresponsibleforpostoperativecare:________________ %X $    4 Comments: ' #'  / +0 X.XX X'I   N44 <DL!T$XN    &     X'IXXX.SurgicalRecordForms  OԌ  Ќ   *XX* X'IXX X'I    N44 <DL!T$XN Rodents  'g  Species:   4 X?XX X'I_q _ X'IXXX?ԀMice  < X?XX X'I_q _ X'IXXX?ԀRats     D X?XX X'I_q _ X'IXXX?ԀGuineaPigs b   jK1FFF4 <DL!T$XKX?XX X'I_q _ X'IXXX?ԀHamsters  < X?XX X'I_q _ X'IXXX?ԀGerbils   D X?XX X'I_q _ X'IXXX?ԀOther H   jN44 <DL!T$FFF4XNSurgeon(s)____________________________________________________________________________  d Numberofanimals______________________________________________  0 DateandtimeofProcedure________________________________________    Protocol#_____________________________________________________ x  Experiment#___________________________________________________ D  Animal/GroupID#______________________________________________ ` BriefDescriptionofProcedure____________________________________________________________ , ApproximateLengthofProcedure__________________________________________________________  _Inhalent_ԀAnesthesia_____________________________________________________________________ t InjectableAnesthesia____________________________________________________________________ @    4 Dosages(mg/kg)_________________________________________________________  \      4 Route(IM,_SQ_,IV)________________________________________________________ (    4 Otherdrugs/agents_________________________________________________________  Observationsduringprocedure(i.e.,additionalanesthesia,complications,deaths,etc.) p!  K(X@<#KK(X@t$))KPostProceduralCare(i.e.,antibiotictherapy,additionalanalgesics,etc.) Z% $ K(X@&'v"KK(X@^(#))KAnalgesics____________________________________________________________________________ D)$( ̀Route____________________________________________________________________________ +`&* ̀Dosesperdayandno.ofdays__________________________________________________________  ,,(,  ,  K14 <DL!XK SurgeryReport X X'I 󀀀LaboratoryAnimalResources   X'IX  @..@..@..@..@..@..@..@..@..@.. X X'I UniversityofWisconsinMedicalSchool  @..@..@..@..@..@..@..@..@..@..Madison,WI53792 U  ,N44 <DL!T$XN* ddd Xdd Xdd X$$, ss+  :'## r: K14 <DL!T$XK X'IX UWID#________________________________Species:_____________________Sex________   PI:______________________________________________Protocol#:_______________________   3)'k   r  3  H.4 <DL!T$4XH K(XPQ K H44 <DL!T$XHDate:______________Surgery:________________________________________________________ 7   Surgeon(s):_________________________________________________________________________ S  OthersPresent:______________________________________________________________________   !o_[$~!?!xp4!@" < <2d 4!E!x!x!Preoperativephysicalexam:T:__________P:__________R:__________BodyWt.__________  _Endotracheal_ԀTubeSize:_______________________ M Drugsgiven(preop,anesthesia) O *]#$ dd ss  $$],bZ, bZ,{ bZ,bb+  6%%'55 6   H.4 <DL!T$XHTime ;%%,!5 %% ;  Drug ;%%,!5 %% ;  Dose(total,recordedinmg) ?%%%,!5 %% ?  Route S%%D,5   %%% SK(XPK 2%%#%% 2 2%%#%% 2 6%%%#%% 6 J%%;#  %%% JK(XPK 2%%# %% 2 2%%#!%% 2 6%%%#"%% 6 J%%;##  %%% JK(XPK 2%%#$%% 2 2%%#%%% 2 6%%%#&%% 6 J%%;#'  %%% JK(XP}K 2%%#}(%% 2 2%%#})%% 2 6%%%#}*%% 6 J%%;#}+  %%% JK(XPcK 2%%#c,%% 2 2%%#c-%% 2 6%%%#c.%% 6 J%%;#c/  %%% JK(XPI K 2%%#I0%% 2 2%%#I1%% 2 6%%%#I2%% 6 L%%%;#I3  %%% LK(XP/ K 4%%%#/4%%% 4 4%%%#/5%%% 4 6%%%%#/6%%% 63)'/7   %%%% 3 K(XP e KH44 <DL!T$XH&o_[$~! Y!xp3!@" < <2d 3!En !x!x# !DescriptionofSurgicalProcedureandFindings:  K8    4    <      D  X X'ISurgeryStartTime:_________________________ !19    4    <      D    9 DL!T$X9SurgeryEndTime:__________________________ _#;   N44 <DL!T$DXN  SurgeonsSignature: .)J   $ $X$(o_[$~!2f!^p!|@" /H!/d! !|Eb/f!^f!^O/!$$N$ O/*K    Postoperativeobservationscontinueonback  0^+L     #$ X'IX   SurgeryReport X X'I LaboratoryAnimalResources  UniversityofWisconsinMedicalSchool  Madison,WI53792 U **+ ddbZ bZ { bZ{ bb#$##,ss+  :'## ):  B.4 <DL!T$ B X'IX UWID#:__________________Species:_______________________Sex:___________3)'# )  3  PostoperativeRecoveryandCare:     7      ? Date:  2 *],- ddss*+$$],)bZ,bZ,bb+  6%%'   6   B.4 <DL!T$XBTime ;%%,!  %% ;  Observation/Treatment/DrugsAdministered ?%%%,!   %% ?  Initials S%%D,     %%% SK(XP  K 2%%#  %% 2 6%%%#  %% 6 J%%;#    %%% JK(XP  K 2%%# %% 2 6%%%# %% 6 J%%;#   %%% JK(XPz K 2%%#z %% 2 6%%%#z %% 6 J%%;#z   %%% JK(XP` K 2%%#` %% 2 6%%%#` %% 6 J%%;#`   %%% JK(XPF K 2%%#F %% 2 6%%%#F %% 6 J%%;#F   %%% JK(XP,| K 2%%#,| %% 2 6%%%#,| %% 6 J%%;#,|   %%% JK(XPb K 2%%#b %% 2 6%%%#b %% 6 J%%;#b   %%% JK(XPH K 2%%#H %% 2 6%%%#H !%% 6 J%%;#H "  %%% JK(XP.K 2%%#.#%% 2 6%%%#.$%% 6 J%%;#.%  %%% JK(XPK 2%%#&%% 2 6%%%#'%% 6 J%%;#(  %%% JK(XPK 2%%#)%% 2 6%%%#*%% 6 J%%;#+  %%% JK(XPK 2%%#,%% 2 6%%%#-%% 6 J%%;#.  %%% JK(XPvK 2%%#v/%% 2 6%%%#v0%% 6 J%%;#v1  %%% JK(XP\K 2%%#\2%% 2 6%%%#\3%% 6 J%%;#\4  %%% JK(XPBK 2%%#B5%% 2 6%%%#B6%% 6 J%%;#B7  %%% JK(XP(xK 2%%#(x8%% 2 6%%%#(x9%% 6 J%%;#(x:  %%% JK(XP^K 2%%#^;%% 2 6%%%#^<%% 6 J%%;#^=  %%% JK(XPDK 2%%#D>%% 2 6%%%#D?%% 6 J%%;#D@  %%% JK(XP*K 2%%#*A%% 2 6%%%#*B%% 6 J%%;#*C  %%% JK(XPK 2%%#D%% 2 6%%%#E%% 6 J%%;#F  %%% JK(XP K 2%%#G%% 2 6%%%#H%% 6 J%%;#I  %%% JK(XP!K 2%%#J%% 2 6%%%#K%% 6 J%%;#L  %%% JK(XPr"K 2%%#rM%% 2 6%%%#rN%% 6 J%%;#rO  %%% JK(XPX #K 2%%#X P%% 2 6%%%#X Q%% 6 J%%;#X R  %%% JK(XP>!$K 2%%#>!S%% 2 6%%%#>!T%% 6 J%%;#>!U  %%% JK(XP$"t%K 2%%#$"tV%% 2 6%%%#$"tW%% 6 J%%;#$"tX  %%% JK(XP #Z&K 2%%# #ZY%% 2 6%%%# #ZZ%% 6 J%%;# #Z[  %%% JK(XP#@'K 2%%##@\%% 2 6%%%##@]%% 6 J%%;##@^  %%% JK(XP$& (K 2%%#$& _%% 2 6%%%#$& `%% 6 J%%;#$& a  %%% JK(XP% !)K 2%%#% !b%% 2 6%%%#% !c%% 6 J%%;#% !d  %%% JK(XP&!*K 2%%#&!e%% 2 6%%%#&!f%% 6 J%%;#&!g  %%% JK(XP'"+K 2%%#'"h%% 2 6%%%#'"i%% 6 J%%;#'"j  %%% JK(XPn(#,K 2%%#n(#k%% 2 6%%%#n(#l%% 6 J%%;#n(#m  %%% JK(XPT)$-K 2%%#T)$n%% 2 6%%%#T)$o%% 6 J%%;#T)$p  %%% JK(XP:*%.K 2%%#:*%q%% 2 6%%%#:*%r%% 6 J%%;#:*%s  %%% JK(XP +p&/K 2%%# +p&t%% 2 6%%%# +p&u%% 6 L%%%;# +p&v  %%% LK(XP,V'0K 4%%%#,V'w%%% 4 6%%%%#,V'x%%% 63)',V'y  % %%%% 3  wK(XP,<(1KB.4 <DL!XB X X'IObservationsshouldberecordedevery10to15minutesuntiltheanimalisrecoveredandplacedbackintheircage. ,<(y Recoveryisdefinedaswhenthefollowingconditionsaremet:1)theanimalisphysiologicallystable,2)analgesiais -(z assured,and3)theanimalcanliftitsheadandremainsternal. j.){  X'IX X'IXX X'I  wH.4 <DL!T$4XH