Template
Veterinary Anaesthesia Monitoring Record Template
An anaesthesia chart: ASA status, premedication, induction and maintenance, 5-minute monitoring grid, fluids and recovery notes.
Free account needed to download — takes under a minute. Log in if you have one.
Preview
Clinic name
Address · Phone · Email
Anaesthesia record
Patient
Patient name
Case / record no.
Species / breed
Weight (kg)
Owner
Date
Pre-anaesthetic
Procedure
ASA status
Fasted since
IV catheter (site / size)
Pre-anaesthetic findings
Pre-op blood results
Drugs
| Stage | Drug | Dose (mg/kg) | Total (mg / mL) | Route | Time | Given by |
|---|---|---|---|---|---|---|
Maintenance
Endotracheal tube size
Breathing system
Agent & vaporiser %
Oxygen flow
Monitoring (every 5 minutes)
| Time | HR | RR | SpO₂ | EtCO₂ | BP | Temp | Vap % | Fluids | Notes |
|---|---|---|---|---|---|---|---|---|---|
Recovery
Extubation time
Recovery quality
Post-op analgesia
Temperature at recovery
Anaesthetist — name & signatureDate
Template from WeVet — free veterinary resources
Frequently asked questions
Is this anaesthesia record template free?
Yes. You can see the whole template on this page. Downloading it for Word / Google Docs or saving it as a PDF needs a free WeVet account.
Can I add my clinic's name and logo?
Yes. Download the Word version and edit it — the clinic details at the top are blank fields.
Is the wording legally approved for my country?
No template can be. Adapt consent and record wording to your national veterinary council and local regulations before using it.
Have a case in front of you?Ask WeVet — the AI assistant built for veterinarians. Differentials, treatment plans with calculated doses, drug info from trusted sources and SOAP notes.
Ask WeVet about thisFor veterinary professionals. Information supports — never replaces — clinical judgement; always check the current product label and local regulations.