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ANAESTHETIC RECORD
Surgeon
Diagnosis
Anaesthetists
Anaesthetists Nurse
Operation
Pre-op Assessment
Pulse
BP
Temp
WT
HR
R/S
CVS
P/A
ASA Staging
Pre-Medication
Anaesthesia LA-INFILTRATION,BIERS,SPINAL,EPIDURAL,OTHERS
Drugs used/procedure
Pre-Medication
G.A Time start surgery
Time End GA
Time Start Surgery
Time End surgery
Induction Drugs
Air Way
Mask
Maintenance:02 N20 AIR HALOTHANE ENFURANCE
DELIVERY SYSTEM SPANTANEOUS/IPPV MANUAL/VENTILATOR
OTHER DRUGS
OBSERVATIONS
Time
Pulse
B.P
SPO2
R.R
Time
Pulse
B.P
SPO2
R.R
ESTIMATED BLOOD LOSS
I.V.E
REVERSAL/RESUSCITATION DRUGS
OUTCOME/PROBLEMS
