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TIME :

Oxigen (I/mm)
N 2O Air (I/min)
GAS :

URINE
EKG
FiO2
O2 Saturation
End Tidal CO2
Temp (C)
CVP

200

180

160

140

120

100

80

60

40

20

POSITION :
Tidal Volume
Respiration Rate
Peak Pressure
PEEP
Perioperative Complication : Anesthesiologist : Signature :

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