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ANESTHESIOLOGIST
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MEDICATIONS INJECTED:
• • •
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SEDATION
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ESTIMATED BLOOD LOSS: None
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COMPLICATIONS: None
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ESTIMATED BLOOD LOSS (If different)
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COMPLICATIONS (if different)
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Use Macro (Technique) - Review Omnipaque 240
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Pre-procedure pain score:
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Post-procedure pain score:
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Sedation notes:
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Test
• • •
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