Harvard Medical Area (HMA) Standing Committee on Animals – “Established in 1907”
180 Longwood Avenue, Suite 113 Boston, MA 02115 Tel: 617-432-3192 Fax: 617-432-3169

J.SURGERY

Will you perform surgery? (See the HCCM website for specific requirements.) Yes____No____

1. Non-survivalSURGERY- animals that will not recover from surgery (DO NOT include description of “euthanasia only” animals):

Species / Anesthetic / Dose / Route
a. Non-survival surgery details (describe non-survival surgery in detail):
b. Euthanasia for non-survival surgery (specifyeuthanasia method and procedure for these animals):
c. Location of non-survival surgery / Building: / Room:

2. Survival SURGERY - animals that will recover from surgery

  1. Specify MAJOR SURGERY (entering body cavity, e.g. laparotomy, craniotomy or creation of permanent physiological defect):

  1. Specify MINOR SURGERY (cut-downs, needle aspirations, tail biopsies,etc.):

  1. Identify the location of surgery. Specify building and room:

  1. Identify the location of housing after surgery. Specify building and room:

  1. Describe the surgical procedure in detail:

  1. Identify anesthetic agents and dosages in mg/kg (body weight), routes of administration for each species:

  1. Explain why it is necessary for the animals to recover from surgery:

  1. Describe your plan for post-operative monitoring of the animals for the first 4 post-operative days. State who will be responsible for the monitoring:

  1. Describe any impairment that may result after the surgery. List potential post-operative complications or sequelae. Describe your plans to handle them:

  1. State the anticipated survival interval following surgery that is required to complete experimental objectives:

  1. Describe how you will treat post-operative pain, and state analgesic, dose and route:
Analgesic:
Dose:
Route:
Interval between administration of drugs:
Duration of analgesic therapy (Post-operative):
**You must administer analgesia for 48 hours after major procedures and for 24 hours after minor procedures (the dosing regimen will depend on the analgesic agent). Reproductive surgery is considered a major surgical procedure. **

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