Free · Unbranded · Medical records
A landscape anesthesia record built the way monitoring actually happens: pre-anesthetic checks and every drug on page one, then a 5-minute vitals grid, the procedure timeline, and recovery on page two.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Signalment, procedure, surgeon, anesthetist, and ASA physical status I–V with an emergency (E) box.
Fasting time, baseline vitals, PCV/TS and other pre-op values, catheter, ET tube size, and cuff check.
Premedication through reversal, each with concentration, dose in mg/kg and mg, volume, route, time, and initials.
Fluid type and rate, circuit, oxygen flow, and vaporizer setting.
Twelve columns covering an hour: HR, RR, SpO₂, EtCO₂, blood pressure, temperature, anesthetic %, O₂ flow, fluid rate, and depth.
Premed to sternal recumbency times, recovery temperature, pain score, quality of recovery, and complications.
Fill in online
Every line on the form is editable right here. When you’re done, print it or choose “Save as PDF” in the print dialog. Everything stays in your browser.
Click any line to type, or add your logo. Nothing is uploaded or saved.
Using it well
Trends matter more than any single value. Consistent 5-minute entries make a falling blood pressure or rising EtCO₂ visible before it becomes an emergency.
Fill in mg/kg, mg, and mL for emergency drugs at the start of the case, not in the middle of one.
Many anesthetic complications happen after the gas is off. Keep the record going until the patient is sternal and warm.
Printing, editing, and what the form does and doesn’t cover.
Monitoring guidelines commonly recommend recording vital signs at least every 5 minutes during general anesthesia, with continuous observation in between. Check the guidelines your practice follows.
Print an extra copy of page two and continue the grid. Number the pages so they stay together in the record.
A monitoring grid needs width for time columns. Landscape fits twelve 5-minute columns with room to write legibly.
No. This is the record of what happened. Plan the protocol separately; the anesthesia protocol builder on VetStack can help with that.
2 pages, US Letter, portrait
An admission consent form for anesthesia and surgery. It captures the procedure and estimate, fasting and medications, the client’s decisions on bloodwork, fluids and resuscitation, and what to do if something unexpected is found.
2 pages, US Letter, landscape
A 24-hour flowsheet for hospitalized patients. Orders down the side, the clock across the top, so every treatment due and given is visible at a glance, with a second page for monitoring, fluids, and shift handover.
2 pages, US Letter, landscape
A landscape dental chart with every tooth drawn and numbered in the modified Triadan system: a full canine page and a full feline page. Each tooth gets mobility, probing depth, and findings boxes, with staging, procedures, and home care below.
A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.