Surgical Release Form

APPOINTMENT

Thank you for giving us the opportunity to care for your pet. Please fill out this form as completely and accurately as possible!

Name(Required)

Anesthetic Procedures & Risks:

We use a combination of pre-anesthetic medication/injectable and/or inhalant anesthetics to achieve optimum levels of anesthesia that are safe for your pet. For most procedures, your pet is anesthetized and then intubated (insertion of a tube into the trachea). This will ensure that your pet is able to receive oxygen at all times and prevents aspiration of any fluids into the lungs. Intubation allows us to maintain anesthesia with gas anesthetic. This allows us to have more control over anesthetic depth and is less irritating to the airways. For procedures that require minimum sedation, an injectable anesthetic may be given that produces a good plane of sedation with quick recovery, and is also reversible with medication. This method of sedation will be done only at the DVM's discretion. A risk of death is possible during or after surgical or anesthetic procedure.

Monitoring & Pain Management:

Monitoring of patients during anesthesia is done in two ways. First a veterinary technician or assistant is with your pet continuously from the beginning of anesthesia until recovery. Second, we have computerized monitoring equipment that records heart rate, blood pressure, oxygenation, respiration, ECG, and body temperature. Our hospital strongly believes in compassionate, quality medical care for our patients. As a result, all surgery patients will receive pain management before, during, and after surgery. Additionally, pain medications may be prescribed to go home with the patient. Additional information will be given at discharge. We hope this management program will reduce any discomfort experienced by the pet and aid in quicker recovery.

Intravenous Catheterization & Fluids:

All of our surgical patients that receive general anesthesia will have an IV catheter placed and receive IV fluids during the procedure. We recommend placement of an IV catheter for all patients undergoing sedation. This allows us to have quick, available access to the circulatory system in case of an unforeseen emergency. These fluids help provide support to the circulatory system and prevent dehydration, as well as aid in a quicker recovery from anesthesia. It is important for you to understand that there is always a risk of anesthetic and surgical complications any time these or any other procedures are performed. We strive to take the highest quality care of your pet and take all the added precautions which you allow to avoid potential problems. Thank you for entrusting the care of your pet to us.
I HAVE READ AND FULLY UNDERSTAND THIS SURGERY AND ANESTHESIA CONSENT FORM. MY QUESTIONS REGARDING SURGICAL PROCEDURES HAVE BEEN ANSWERED TO MY SATISFACTION. I HAVE ALSO BEEN OFFERED A COPY OF THIS FORM.
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Providing compassionate care for pets and their human families.

Location

5620 HWY 51
McFarland, Wisconsin 53558
Click here for directions.

Hours

Mon-Fri: 7:00am - 6:00pm
Sat: 8:30am - 12:00pm
Sun: Closed

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