Friday, February 24, 2012

884. Anaesthetic & Surgical Record for Toa Payoh Vets

The following is to monitor the productivity of veterinary anaesthesia and surgery and for instructions and review

1. Name of file
TP Reference
Date of surgery

2. Patient
Name
Age
Weight
Temperature

3. Surgery
Procedure
Vet
Spay/Neuter Certifcate No:

4. Anaesthesia
Induction Drugs
Dose calculation
Route

Isoflurane graph charting % at 5-minute intervals
Review: Isoflurane maintained at: 0.5 - 1.0% for 21 minutes


A. Time of injection of induction drug
B. Time of isoflurane gas first given
C. Time of isoflurane gas stopped
D. Time of first skin incision
E. Time of completion of skin stitching

E-A = minutes
E-D = minutes
C-B = minutes

5. OTHER MATTERS

Vet signature:


Using dog spayed by Dr Sing as an example


1. Name of file - 2012TPV Anaesthesia Record
TP Reference - 42373
Date of surgery - 24.2.12

2. Patient
Name: Jo Jo
Age: 15 months
Weight: 5.8 kg
Temp: 38.6C

3. Surgery
Procedure: Spay
Vet: Dr Sing Kong Yuen
Suture type: 2-0 Polysorb (Braided lactomer, Cutting 3/8 24 mm
Suture packets used: One packet
Spay certificate No: 1675


4. Anaesthesia
Induction Drugs: Domitor + Ketamine IV
Dose calculation
Wt Age D K
10 young 0.4ml 0.5ml
5.8 young 0.23 0.29
@50% 0.1 0.15 given = 0.26 ml. Add 0.14 normal saline = 0.4 ml IV

Isoflurane graph charting % at 5-minute intervals
Isoflurane maintained at: 0.5 - 1.0% for 21 minutes

Route: IV
A. Time of injection of induction drug: 5.07pm
B. Time of isoflurane gas first given: 5.11pm
C. Time of isoflurane gas stopped: 5.32pm
D. Time of first skin incision: 5.17pm
E. Time of completion of skin stitching: 5.33pm

E-A = 26 minutes
E-D = 16 minutes
C-B = 21 minutes



5. OTHER MATTERS
Spay timing:

Skin incision: 5.17pm
Linea alba incision: 5.17pm
Left ovary hooked out: 5.19pm
Left ovarian ligament incised: 5.19pm
Left ovary clamped: 5.20pm
Left ovary ligated: 5.21pm.

Right ovary hooked out: 5.21pm
Right ovarian ligament incised: 5.22pm
Right ovary clamped: 5.22pm
Right ovary ligated: 5.23pm

Uterine body (UB) clamped: 5.24pm
UB transfixation ligature right side: 5.25pm
UB transfixation ligature left side: 5.26pm
UB 2nd ligation round UB: 5.27pm
UB incised: 5.29pm
UB checked for bleeding before putting into abdomen: 5.29pm

Linea alba stitched: 2 simple interrupted sutures: 5.29pm
Finger palpate linea alba (2 cm) for hole: 5.31pm.
Skin stitched: 5.31pm. First horizontal mattress
Isoflurane gas stopped: 5.32pm
Skin stiched: 5.32 pm. Second horizontal mattress
Uterus weight: 26 g. Owner said, not pregnant before
Spay certificate No. 1675

Dog's surgical wound bandaged, given baytril and tolfedine SC
E-collar. Home Baytril 50 mg x 2 (1/2 tab sid), Tolfedine 6 mg x 16 tab (4 tab sid)
6.30 pm phoned owner. Take dog home. Awake.






Vet signature:

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