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Guidelines to Use During Completion of Animal Care and Use Forms
Copies of the forms and Guidelines
may be obtained from the UCAR Office or downloaded from this site.
These Guidelines and forms must be used; no others will be accepted.
According to NIH and University Policy, a new and full review and
approval of UCAR protocols is required every three years (36 months).
The University requires that all laboratory animal use be reviewed
and approved by UCAR regardless of funding source.
General
Although there are three sections in the UCAR forms (A, B, and C), most
protocols will require that the investigator complete only Section A.
Section A, entitled "Animal Care and Use Summary Form" asks for detailed
information regarding the use of animals. Section B deals with "Recovery
Surgical Procedures" and Section C with "Use of Infectious Agents or
Hazardous Substances".
Please submit the original and 7 copies of Section A, and only if
applicable, B and C. Provide an electronic version as well, prefferably
MSWord document.
Please comply with our request that all forms be typed and,
if using word processors or computers, the answers be printed in regular
font to readily contrast them from the questions. Use Times font,
10 to 12 point.
NOTE: UCAR will not review any forms that are
not typed or produced by letter quality printers, do not have pages
consecutively numbered or that deviate from the UCAR format. Contact
the UCAR Office Staff for information about borrowing a diskette containing
the UCAR forms.
Investigators are encouraged to contact the UCAR Office Staff at
extension 5-1693 or DLAM veterinary staff at extension 5-2651 for
assistance in development of animal protocols. It is required that
veterinary consultations be made for procedures that "cause more than
momentary or slight pain or distress to the animals" as defined in
the Animal Welfare Act regulations. There is no charge for such consultations.
Animal Care and Use forms must be received in the UCAR office prior
to or at the time of submission of grants for sign-off. New grants
may be sent to funding agencies with either a "pending" or an approval
letter.
Section A: Animal Care and Use Summary
- Only University faculty members are eligible to submit protocols
to UCAR. In the case of students, e.g. undergraduate, graduate or
postdoctoral, or other, the application must have the name of the
faculty sponsor followed by the name of the student and signatures
of both. The P.I., i.e., faculty member, is responsible to the University
for the conduct of research under his/her supervision. The Department
in which the P.I. has his/her primary appointment; department, University
mailing address, and University telephone number are self explanatory.
- Title of Proposal: Title of protocol.
- Under Type of UCAR Approval, check the appropriate
line. Indicate the Course Number and Title if the category is Teaching.
If the proposal is either new or a competing renewal,
a new set of forms must be submitted to UCAR. Modification
of an approved protocol is for any significant changes
in an approved protocol that may affect the animal's welfare and
hence must be prospectively reviewed and approved before it is performed.
Failure to do so is a violation of the University's Animal Welfare
Assurance to the Public Health Service and the Federal Animal Welfare
Act. Proposed changes must be clearly identified and contrasted
with the previously approved protocol. A pilot project
is for a relatively short duration (usually less than one year)
for the purpose of acquiring preliminary data for use in a subsequent
grant or contract application. The Committee requires approximately
30-60 days to review, revise if necessary, and act on submitted
protocols.
- Under Funding Source and Deadline for Submission,
check the appropriate line and indicate the deadline for your submission
submission is to NIH, NSF, or any of a number of the other funding
sources. Contact the UCAR Executive Secretary if you have any questions
about whether peer review is provided by a funding source or about
securingpeer review within the University that will satisfy the
University's Public Health Service Animal Welfare Assurance and
USDA Regulations.
For New Applications the Public Health Service
and most other agencies give the applicant a sixty-day period
following the submission deadline for UCAR review and
necessary approval. Since the UCAR review process may take up
to 60 days, it is advisable to submit one's UCAR proposal as early
as possible. Modification of approved protocols must be reviewed
and approved prior to initiation. Any substantive changes in an
approved protocol that may affect the animal's welfare must be
prospectively reviewed and approved before it is performed.
Not to do so is a violation of the University's Animal Welfare
Assurance to the Public Health Service and the Federal Animal
Welfare Act. Proposed changes must be clearly identified and contrasted
with the previously approved protocol. For modifications
of an approved protocol, the Committee requires 30-60
days to review and approve the modification. In addition to completing
the form, provide a memo that explains the change from the original
protocol.
In all cases, whether New, Competing Renewal, or a
Modification of an Approved Protocol, it is important to note
that the Principal Investigator is responsible for sending a copy
of the UCAR Approval Letter to the appropriate funding agency
and official. New Applications for Public Health Service
proposals are generally all sent to the Division of Research Grants
for initial processing and assignment to an appropriate review
body. You must send the UCAR Approval Verification Letter
to the administrative officer of the assigned review body. If
it is sent directly to the Division of Research Grants, unnecessary
delays in the review process may occur.
- Provide a description of the specific aims of the research
in language that a member of the general public can understand.
It is important to indicate how the results of the research are
likely to benefit humans and/or animals. There is a lay person on
UCAR who must understand your objectives and methods. These lay
summaries may also be used by the University's Public Relations
and Communications Personnel. It is particularly important to have
an excellent layman's summary for those kinds of studies which may
involve the potential for pain or for studies involving certain
species, such as dogs, cats, and nonhuman primates. All lay summaries
should be carefully and thoughtfully written. Please do so in the
space provided in the form. A protocol with an inadequate lay summary
will be returned to the P.I., which may lead to unnecessary delays.
- Provide an abstract of the proposed application so that
scientifically trained members of the Committee can understand your
general methods and objectives. If an abstract has already
been prepared for NIH or another application, you may use it here.
- Under Use of Vertebrate Animals, sections a.
and b. are identical to those required in the Section of grants
that discusses animal use and are necessary to clearly justify the
rationale for animal use. Although one's application may be for
greater than three years of support, UCAR approval will be for three
years only. Federal regulations require full review and approval
every three years.
- Animal Numbers and Use Category. For each species
to be used, provide a yearly account of the estimated animal numbers
and their use categories for the duration
of your proposal. This information is required for the U.S.D.A.
each year.
- Justification of the number of animals to be used for
each species. According to federal regulations the UCAR
needs assurance that: 1) a sufficient number of animals is used
to satisfactorily answer the scientific questions posed, and 2)
an excessive number of animals are not used. When appropriate, provide
an estimation of the sample size (power analysis) needed to reach
an appropriate level of statistical significance for your study.
In calculating your sample size provide information about the known
variability in the control population of your measured variable
as well as the minimum statistically significant change you plan
to determine in your experimental population. Consultation with
the Department of Biostatistics may be helpful in addressing this
section.
- Alternatives and Literature Searches. The intent
of the question is to determine whether the P.I. has adequately
considered in vitro techniques, and also techniques using
either less sentient animals, or procedure that produce the least
amount of pain or discomfort. This question is an attempt to have
the P.I. utilize, what has become to many, the 3-Rs - Replacement,
Reduction and Refinement, that
was attributed to an often quoted text by Russell and Birch (Russell,
W.M.S. and Birch, R.L., The Principles of Humane Experimental
Technique, Methuen, London, 1954). The term Replacement
is intended to see if, or how, living animals can be replaced by
other non-animal or less sentient animal models. Reduction
refers to the use of the fewest animals necessary to achieve experimental
objectives by applying the most appropriate experimental design
including the prospective consideration of statistical considerations.
The term "Refinement" refers to the use of more accurate and sensitive
technical methods of laboratory analyses that may lead to the use
of fewer animals if possible. It refers to both the use of the most
appropriate animals based upon, not only the model itself, but also
the genetic and microbiological quality of the animals that, if
well defined, and maintained free from adventitial microbiological
agents, may result in more reproducible and valid research results.
It means the close control of non-experimental variables, such as,
the maintenance of proper environmental controls and animal care
and veterinary practices.
The Federal Regulations state that "the principal
investigator" has "considered alternatives to
procedures that cause more than momentary or slight pain or distress
to the animals and has provided a written narrative description
of the methods and sources used to determine that alternatives,"
(to these painful procedures) "are not available."
(Reference: The Federal Register, Thursday, August 31,
1989, Vol. 54, No. 168, page 36152, entitled "9 CFR Parts 1, 2,
and 3, Animal Welfare; Final Rules."
The method that is recommended is to conduct an up
to date search of the literature specifically related to the proposed
research program and specific protocol under consideration. This
search would attempt to identify either less sentient animal species,
techniques and/or procedures that would be intrinsically less
invasive or painful, or in vitro techniques that could
be considered.
The source(s) used for the literature search should be databases such as Medline, PubMed, Web of Science, TOXNET, AGRICOLA, or others that are relevant to the protocol topic. Information about Miner Library assistance with animal testing alternatives literature searches can be found at http://www.urmc.rochester.edu/hslt/miner/resources/researchers/Animal_Testing_Alternatives.cfm . The Animal Welfare Center (AWIC) at the National Agricultural Library also provides assistance with alternatives literature searches. AWIC can be contacted by telephone at (301) 505-6212, FAX (301) 504-7125, or via e-mail at awic@nal.usda.
- If recovery surgery is to be performed, please
check yes, and complete Section B - Recovery Surgical Procedures.
If you check no, you do not propose to do recovery surgery, go on
to question 10.
- Will infectious agents, radionuclides, hazardous substances
or drugs that may be shed into the animal environment be used?
Examples include HIV., MPTP., DMBA, BRDU., cyclophosphamide, cyclosporin,
and human cells, tissue, blood, or viruses. If no, please indicate
and go on to item 11. If yes, complete all parts of Section C and
send the complete UCAR form (Sections A, C, and if applicable, Section
B) to Environmental Health and Safety for review.
- Pain or distress to animals.
- Describe specific procedures that will be employed to minimize
or limit pain or distress. Describe the use of anesthetics,
analgesics or other drugs that will prevent or reduce perception
of painful stimuli. Describe any physical or environmental changes
which may also reduce discomfort or injury. Animals in which
pain or discomfort may occur must be observed daily by research
staff. Where pain or distress is produced and cannot be relieved,
scientifically justify. What endpoints or conditions would be
used to determine the time of euthanasia?
- Describe any pain or distress the animals may ultimately experience.
If none is expected, so state. If pain, stress, distress, or
injury or permanent physical, physiological, or pathological
impairment is anticipated, please describe. Based upon your
experience, that of colleagues, or the literature, what adverse
physiological, pathological, or behavioral sequelae may probably
occur as a result of the proposed study? What complications
may be associated with this type of intervention? What could
and/or would be done to alleviate discomfort or injury?
- Describe the euthanasia method(s) to be used.
Specify the agent (proprietary and generic name), dosage (mg/kg
of body weight), and route of administration. If physical methods
are to be used, describe the technique. The American Veterinary
Medical Association's 2000
Report of the Panel on Euthanasia, as published in J.A.V.M.A.
Vol. 218, No. 5, Pages 669-696 (2001) must be consulted and deviations
from recommended methods must be scientifically justified. For example,
decapitation or cervical dislocation of rodents without prior sedation
must be scientifically justified. Copies of this report are available
from the UCAR Office.
What measures are taken to insure that the laboratory animal
is dead before being taken to the Vivarium animal morgue? Measures
include, opening the chest and severing major vessels, exsanguination,
decapitation, and harvesting of vital organs. For animals that
euthanasia does not include physical methods, it is recommended
that the chest be opened or major vessels severed.
- Describe all other manipulations (other than recovery
surgery) not already described above that any animal or experimental
group may undergo. The manipulations and procedures listed
below are not all-inclusive. They are examples of the information
required by UCAR so that the humane aspects of the proposed study
are appropriately considered. Guidelines specific to monoclonal
antibody production, polyclonal production, and tumor "endpoints",
are available from the UCAR Office.
UCAR understands that some experimental plans are simple, others
are complex, and involve many different experimental and control
groups that receive different treatments or procedures. Please
provide for each given group of animals a summary of the specific
procedures to be performed. In the description please include
the temporal relationship of each procedure when appropriate.
For example:
Group A: (10 rats) acclimatization, baseline
bleed and immunization begun on 8th day; boosters on days 21 and
42; bleed on days 60, 90, 120, on day 120 anesthetize, exsanguinate
and harvest of the spleen.
Group B: (10 rats) acclimatization, baseline
bleed begins on 8th day, mini-osmotic pump containing X surgically
implanted under general anesthesia on day 15; boosters on day.....harvest
of the spleen.
Group C: (10 rats) acclimatization, anesthesia,
terminal bleed and harvest of spleen on day 8.
Descriptions of other manipulations:
- Substance administration. Describe materials
to be administered, dosage (mg/kg); (please note that a drug
concentration, e.g. mg/ml or xml of a y% solution is not a dose!)
total volume, volume per site, if applicable; dosing regimen
(frequency and total number of doses), gauge of needle to be
used, specific adjuvants used, if any; and any other information
relative to the administration of substance to living animals.
- Specimen withdrawal. Describe what specimens
will be taken from living animals (e.g., blood, urine, feces,
bile, expired gases, cerebrospinal fluid and salivary gland
secretions). Specifically describe the technique used, including,
e.g., site of collection, preparation of the site if drawing
blood or CSF, gauge of needle, volume of specimen, frequency
of specimen collection, approximate range of weight of animals
and species used.
- Physical restraint. If manual restraint only
is used, please state. If physical restraint requiring the use
of any device is to be used, please describe the device (dimensions
and materials), duration and frequency of physical restraint
and animal conditioning procedures. Also describe the frequency
and method of cleaning and sanitizing the device. Provide scientific
justification for the use of physical restraint if it is longer
than a few minutes duration to facilitate either substance administration
or specimen collection.
- Use of chemical restraint. Describe in detail
the use of tranquilizers, anesthetics and analgesics not related
to recovery surgical procedures, which need only be described
in Section B. Give the proprietary and/or generic name of the
drug, dosage (mg/kg of body weight). (Note that a concentration
is not a dose!) Provide the route, gauge of needle, and method
of evaluating the initial desired effect, e.g., anesthesia or
tranquilization, method of monitoring for continuation of desired
effect for whatever duration the effect is required, duration
of procedure requiring chemical restraint, and planned schedule
for supplementing the animal, if needed. For "acute" experiments,
deep surgical anesthesia is required prior to organ or other
specimen collection, which is then followed by the death of
the animal. Describe the means by which one will establish and/or
maintain an adequate plane of anesthesia.
If muscle paralysants are necessary for the planned studies,
give the generic name and dose of the product. Justify its
use and describe in detail the methods to be used to monitor
the animal for pain or distress. Muscle paralysants may
not be used without adequate scientific justification, a well-defined
and acceptable anesthetic regimen and an effective method
to assess the adequacy of the accompanying anesthesia.
Consultation with the veterinary staff in DLAM during protocol
development and before submission to UCAR is essential.
If you do not have personal experience with the specific
use of any of the chemicals or pharmaceuticals you plan to
use and have described on the UCAR forms, include a copy of
a reference concerning the use of the chemical or pharmaceutical
substances in the specie(s) in question for the purpose you
have described, e.g. as a general anesthetic for rodent recovery
surgery or a substance that reportedly increases heart rate.
If such a specific reference is unavailable, describe how
the chemical agent was selected, any previous experience while
at another institution or information communicated from outside
colleagues. UCAR may require that one or more of its members
and/or veterinarians from DLAM be present to determine, if
possible, the physiological or pathological effects.
- Aversive Conditioning, Food or Water Scheduling, or
Sensory Deprivation. If any form of aversive conditioning
(e.g., footshock) is proposed, scientifically justify and both
qualitate and quantify, as best you can, the aversive condition.
If access to food or water is restricted in any manner,
scientifically justify and describe in detail the criteria which
you propose to use to determine that each given animal, so restricted,
receives an adequate diet and fluid intake. DLAM veterinarians
have developed an acceptable recordkeeping procedure that places
the responsibility on the PI or on Vivarium animal care technicians
A feeding or watering log for each individually-housed animal
must be kept. Please work with a DLAM clinical veterinarian
and Vivarium Supervisory personnel in developing and implementing
any restricted or scheduled food or water regimen. If the creation
of caloric or other specific deficiency is an intrinsic part
of the proposed study, please describe.
- If any form of sensory deprivation is proposed,
scientifically justify and describe in detail the duration,
extent and known or anticipated effect of the sensory deprivation.
- Administration of any harmful or potentially harmful physical
agents (e.g., irradiation, microwaves, radio frequency
waves, thermal injury, physical injury, environmental injury,
such as high levels of sound, high or low temperature, barometric
pressure, ultrasound, high intensity light or exposure to potentially
damaging wavelengths). Please scientifically justify the use
of such physical agents and describe the conditions of exposure,
the "quantity", duration and frequency of exposure, and the
expected effects of such exposure.
- Nonrecovery or acute surgical procedures.
Describe briefly any nonrecovery procedure, e.g. tissue or fluid
harvesting, or nonrecovery or acute surgical procedure immediately
following which the animal is euthanatized without regaining
consciousness. Be sure to give a detailed description of the
anesthetic regimen and methods for both establishing and maintaining
a surgical plane of anesthesia.
- Specific use of adjuvants to produce polyclonal
antibodies in mammals and birds. UCAR has literature available
that provides information on newer, more refined adjuvants and
those that minimize the possibility of excessive inflammation
leading to tissue necrosis, than Complete (CFA) or Incomplete
Freund's adjuvant (IFA) as well as a method for immunizing domestic
fowl and harvesting antibody from their eggs. Seek UCAR assistance
for materials on alternative methods used for polyclonal antibody
stimulation. Use of these alternate species and adjuvants are
encouraged; however, if Complete Freund's Adjuvant is used,
it may only be administered once. Subsequent injections aimed
at developing an anamnestic response can use Incomplete Freund's
Adjuvant. Other procedures aimed at reducing the incidence of
tissue necrosis and unnecessary pain or discomfort are available
from the UCAR Office.
- Will living animals be removed from the Vivarium?
The term Vivarium means any UCAR authorized animal housing facility
at the University. If no, please indicate and go on to item 17.
If yes, animals must be taken to a laboratory, please give the specific
laboratory or room location, the maximum duration that animals will
be kept in the laboratory, and a brief description of the kinds
of procedures to be performed in that location. For example, "Rats
will be taken to 3-xxxx (location) in compliance with UCAR "Animal
Transport Policy" where they will be anesthetized with pentobarbital,
euthanized by exsanguination, and tissue or organ samples collected
(within several hours). It is important to indicate when individual
animals are taken to the laboratory on multiple occasions because
of disease prevention, public health and security considerations.
The USDA requires that if a regulated animal (e.g., dog,
cat, monkey, guinea pig, hamster, ferret or rabbit) is out of
its authorized housing room for more than 12 hours, that area
must be designated as a "Study Area" and must be inspected semiannually
by UCAR. University policy restricts laboratory rats and
mice (presently non-regulated animals) from being kept outside
the Vivarium for greater than 24 hours unless an application is
made and approved by UCAR for a satellite facility. This requires
the demonstration of the scientific necessity for such a facility
that cannot be met in existing Vivarium space. A satellite must
meet all governmental and University regulations and standards.
All satellites are subject to the "University Policy on Satellite
Animal Care and Use Facilities" in effect at the time. For further
information on either satellite facilities or study areas, please
contact the UCAR office.
- Identify all personnel working with living animals.
Starting with the PI, give the name, University location (office
or laboratory), University telephone number, and at least two non-University
telephone numbers to be used in a case of an emergency. The PI must
update this information when staff or staff responsibilities change.
The PI can also prioritize the persons listed as to order one may
attempt to locate in case of an emergency. Someone in the investigative
group must always be available. If a veterinarian is unable to reach
an emergency contact to seek guidance and assistance in determining
a course of action, they may have to treat an animal or euthanitize
it.
- Are the persons identified in item 17 enrolled in the
Occupational Health Program for Persons with "substantial" animal
contact? If no, please contact the UCAR Executive Secretary
at extension 5-1693, for information and guidance.
All personnel with "substantial animal contact" are required
to be evaluated in light of their occupational exposure to certain
laboratory animals and enrolled in an occupational health program
appropriate for their situation. Anyone working directly with
nonhuman primates, sheep, and wild caught animals (bats, squirrels)
or having even minimal exposure to them, or their tissues and
fluids, are considered to have "substantial" animal contact and
must be evaluated by the University Health Service. Serum banking
may be required in some cases. Semiannual tuberculosis testing,
baseline CBC's or clinical chemistry determinations may be performed
under certain situations. The need for a specific program will
be evaluated by University Health Service staff. For workers with
exposure to specific pathogen free (SPF) rodents and rabbits in
programs that do not involve any specific hazardous substance
or infectious agent, all that may be required is a pre-employment
assessment, health history, and periodic tetanus immunization
update. Personnel working with hazardous substances as part
of the experimental protocol (eg. radiation hazard, chemical hazard,
carcinogen, mutagen, neurotoxin, biohazard) must be evaluated
by the Environmental Health & Safety Division as part of Section
C of the UCAR form.
- & 20. Have all of the personnel listed above completed
the Responsible Care and Use of Laboratory Animals Certification
Program? If no, please contact the UCAR Executive Secretary
at Extension 5-1693 for information about the program. It is required
by federal law that anyone working with laboratory animals have
appropriate training and/or experience with the species
and specific procedures to be performed. This information
should be listed in Question 20.
Carefully read the certification and assurances you are
giving the University when you sign the completed Section A of the
protocol.
Section B: - Recovery Surgical Procedures
General comments: This section need only be completed
if you have plans to perform recovery surgery. If recovery surgery
is not relevant to this application, remove it. Section B deals with
surgical procedures following which the laboratory animal recovers from
anesthesia for any period of time. The Committee, with the assistance
of DLAM veterinarians evaluate the proposed preoperative, intraoperative,
and postoperative procedures. Some of the information requested has
also been asked in Section A, but should be repeated here. Section B
may be reviewed without the previous Section being made available to
the reviewer. In addition to naming the PI, it is important to indicate
who the surgeon is and the qualifications to perform the surgery.
- Species and approximate number of animals to be used per
year. Provide a separate Section B for each species. This
is especially important when both a USDA regulated species, e.g.,
rabbit, cat, nonhuman primate or dog and a USDA unregulated species,
e.g., a laboratory bred rat (Rattus norwegicus) or mouse
(Mus musculus) is used. The species and number on which
surgical procedures are to be performed may be different from the
species and numbers given in Section A because perhaps not all animals
will undergo such procedures. A separate Section B facilitates the
review.
- Specific surgical facility or laboratory to be used.
Regulations promulgated by the USDA state that, "All survival surgery"
on all mammalian and avian species "must be performed using aseptic
procedures, including sterile surgical gloves, masks, caps, sterile
surgical gloves and aseptic techniques". In the case of "major"
operative procedures on non-rodents, these will be conducted only
in facilities intended and dedicated to that purpose. The definition
accepted by the USDA and NIH for "major surgery" or "major operative
procedure" is: "any operative procedure that enters or opens a body
cavity or any procedure that produces permanent handicap in an animal
that is expected to recover".
The performance of minor survival surgery on regulated species
and survival surgery on Rattus norwegicus and Mus
musculus usually do not require the use of a dedicated surgical
suite, approved for major surgery. However, recovery surgery on
all species must be done aseptically. UCAR will decide,
based on the description of the recovery surgical procedure whether
or not it is to be considered "major" or "minor." In general,
UCAR has accepted as "minor" those procedures commonly performed
on an outpatient basis in human medicine, provided, of course,
that the investigator describes appropriate aseptic procedures
that will be used. Please review your copy of UCAR "Guidelines
for Rodent Survival Surgery". If you do not have one, contact
the UCAR Executive Secretary.
The Division of Laboratory Animal Medicine's Experimental Surgical
Facility is available to any investigator at the University and
has been developed as a resource by the School of Medicine and
Dentistry. It is well-equipped, provides many anesthetic regimen
options, including a number of very safe and effective anesthetic
gases, and sophisticated equipment to aid the surgeon and anesthetist
in monitoring the depth of anesthesia. The surgery is staffed
by well-trained personnel and is in very close proximity to the
offices and laboratories of the veterinary staff of the Division.
The technical supervisor and other technical staff are well-trained
and equipped to handle most anesthetic-related problems.
The regulations promulgated by the USDA state that, "non-major
recovery surgery and all surgery on rodents do not require a dedicated
surgical suite, but must be conducted aseptically". UCAR, under
its Public Health Service Animal Welfare Assurance, determines
whether or not a given procedure is major or minor and whether
or not the procedure must be conducted in an approved dedicated
surgical suite or aseptically within a specifically designated
and maintained area within a laboratory. However, such surgery
MUST be performed using sterile instruments, surgical gloves,
and aseptic technique. The laboratory or facility in which survival
surgery is conducted on rodents should contain an area that is
readily sanitizable, free from extraneous equipment and supplies
that are designated for this purpose. It is suggested that a laminar
flow cabinet, similar to that used for tissue culture work, is
an excellent device in which aseptic surgery can be performed
on rodents.
Section B is primarily reviewed by a Division veterinarian(s)
and then by the "attending veterinarian," the term used by regulatory
bodies for the University "Veterinarian-in-Chief".
- Type or kind of operative procedure. Give a brief
indication of the type or kind of procedure. For example: adrenalectomy,
nephrectomy, thoracotomy, cannulation of x vessels, stereotaxic
lesioning of the brain, partial hepatectomy.
- Describe preoperative procedures, including fasting, premedication,
and preparation of the surgical site. UCAR has tried, in
this revised set of guidelines, to make this section easier to complete
by using some check-off options and leading one to better describe
what's being done. For example, it is usually recommended that an
animal be fasted for 12-18 hours prior to undergoing general anesthesia
and surgery. It is advisable to restrict water for only a few hours
prior to surgery, if possible. This is often not possible in cases
where the surgery is scheduled in the early morning. In this case
one may make arrangements for a limited amount of water to be available
to the animal through a special-request form, submitted to the Vivarium.
One may wish to premedicate the animal with a tranquilizer to
facilitate a smooth induction and recovery as well as requiring
less anesthetic, and/or administer atropine to lessen salivary
secretions. The surgical site should be clipped, shaved, or otherwise
depilated. So-called nude mice, neonatal rats and mice and/or
some other species may not require clipping or shaving but the
site must be appropriately cleansed and prepared using an appropriate
surgical antiseptic, e.g., an iodine-based surgical detergent-disinfectant.
When describing premedications, specify the proprietary and/or
generic name, dosage (mg/kg of body weight), and route of administration.
Other relevant preoperative procedures should also be described.
For guidance on any aspect of this or subsequent items, please
contact one of the Division of Laboratory Animal Medicine's veterinarians
or the supervisor of the Division's Surgical Facility for assistance.
- Describe anesthetics and other drugs used. Describe
the proprietary and generic name, or only the generic name(s) of
drugs to be used and give both approximate dosage (mg/kg body weight)
and route of administration. Since most anesthetics administered
to small non-rodents need to be given "to effect," to reach a surgical
plane of anesthesia, all dosages are considered approximate ones.
Indicate the anticipated duration of the surgical procedure and
how one would supplement the initial anesthetic dosage, if necessary.
If the anesthetic product contains more than one agent, please
give the dose, (not concentration or milliliters/kilogram
of body weight), of each separate agent. Preanesthetic or anesthetics
must be described by their generic chemical constituents. Proprietary
names may be given in addition to the name of the generic active
ingredient(s). For example you may state the proprietary name
of the agent as "Surital," an ultra short-acting barbiturate commonly
used to induce anesthesia prior to intubation and maintaining
the patient on gaseous anesthetics, but you must also give its
generic chemical name, in this case, thiamylal sodium.
If one chooses to use a preanesthetic or anesthetic not contained
in Chapter Two of UCAR's Training Manual, please supply a reference
about the specific drug's successful use in the species proposed.
The reference should describe its efficacy and, if possible, therapeutic
ratio or other factors, such as potential toxicity to laboratory
animal or staff, e.g., Urethane. If such drug(s) are effective
and safe preanesthetic and/or anesthetics, please request that
they be added to the UCAR list of preferred drugs used for preanesthesia
or anesthesia.
Please do not describe a "dose" in milliliters/pound or kilo
of body weight or give the concentration of the agent (mg/ml or
% concentration). Neither of the above two examples are dosages.
In some cases, both dosage in mg/kg body weight and concentration
as either mg/ml or as a percent solution, should be given. For
example, if chloral hydrate is to be used intraperitoneally at
a certain mg/kg dose, indicate its concentration in percent, as
it is proposed to be used. Chloral hydrate, given intraperitoneally
in too high a concentration, may be painful upon induction even
if the study is nonrecovery or acute, or it may be painful and
cause peritonitis and subsequent adynamic ileus upon recovery.
If a gaseous anesthetic product is used, please indicate
how the animal was induced using x or y preanesthetic or anesthetics
by route and dosage in mg/kg, followed by the generic name and
concentration of the anesthetic, description of the method of
gaseous drug delivery, precautions taken to guard against exposure
of personnel to waste anesthetic gases or possible explosion.
Chloroform may not be used as an anesthetic because of its hepato-
toxicity to man and animal.
Ether use as an anesthetic is strongly discouraged.
If used, it must be used in an approved fume hood. Ether
soaked gauze, cotton, or animal carcasses accidentally soaked
in ether should be held in the hood long enough for the ether
to evaporate. There have been explosions, fortunately without
personal injury, here at the University, because ether-laden materials
were placed in the morgue to be cremated.
- Describe means by which a surgical plane of anesthesia
is established, maintained, and monitored. For example,
in a nonhuman primate under a surgical plane of anesthesia, there
should be little or no deep pain reflexes, elicited by digitally
pinching a toepad, little or no corneal or palpebral reflexes, elicited
by light digital contact or with a cotton tipped applicator. Any
other physiological signs of anesthesia used to assess the depth
of anesthesia should be described, such as the rate, depth, and
character of respirations, (if the patient is not on a mechanical
ventilator), color of mucous membranes, electro-cardiograph, pupillary
dilation, and electroencephalograph. Many methods may be used, but
UCAR requires that at least two measures be used to assure that
the animal is properly induced, then reaches and is maintained at
a surgical plane of anesthesia during the procedure. Therefore one
must indicate at least two methods used to determine that the appropriate
depth is reached.
Intraoperatively, how is an adequate depth of anesthesia monitored
and maintained? For example, an assistant may reconfirm any or
all of the clinical signs of anesthesia. The animal may have its
blood pressure, heart rate or other vital signs monitored by an
assistant or displayed electronically.
If it is absolutely necessary to use a muscle paralysant, scientifically
defend that position and describe, in detail, how an adequate
depth of anesthesia will be maintained. A surgical plane of anesthesia
must be used for any procedure capable of causing any significant
pain in an unanesthetized animal.
- Describe the surgical procedure, including site of incision,
operative manipulations, method of closure, suture material used.
The description need not be lengthy but must describe all aspects
of the procedure to be performed. If more than one major surgical
or operative procedure during one session or during subsequent surgical
sessions is anticipated, if not indeed planned, they must be scientifically
justified as being essential components of a single research protocol.
Economics alone can not be the deciding factor.
An example:
A nephrectomy in the dog may be performed by using a flank incision
which is made obliquely from a point dorsolateral to the last
rib, to a point where the skin fold of the thigh meets the ventral
abdominal wall (the site).
Following blunt dissection through the three muscle layers,
the perirenal fat is stripped to expose the kidney. The renal
pedicel is exposed and, using three crushing forceps, the pedicel
is crushed. The kidney is removed by cutting between the two
distal clamps following placement of a ligature (3-0 chromic
gut), that is gradually tightened and placed where the proximal
clamp was removed. A second ligature is placed for safety and
the middle forceps removed (the operative manipulations).
The peritoneum and muscle layers are separately opposed using
3-0 chromic catgut in an interrupted suture pattern. The skin
incision is closed using Dermalon (3-0) in a simple interrupted
suture pattern (the method of closure, suture material used).
Silk sutures may not be used to close any layer of the body wall.
Silk sutures used in laboratory animals increase the likelihood
of postoperative complications due to the material's capillarity,
and wick-like effects that frequently result in postoperative
infection and possible evisceration and death. Silk sutures buried
in the body wall continue to act as focal irritant which stimulates
an inflammatory response and a higher than necessary incidence
of stitch abscesses. It is recommended that any of the synthetic
non-absorbable surgical suture material designed for use in the
skin be used. Closure of other layers, i.e., fascia, muscle, and
peritoneum must be performed using absorbable suture material,
i.e., chromic catgut or other absorbable synthetic suture material.
If one believe silk sutures are necessary as a ligature within
the body cavity, please justify their usage.
Describe the suture patterns to be used for closure of x layer
with y suture material.
What, if necessary, will be done to provide fluids or other
materials intraoperatively?
What, if necessary, will be done to maintain the animal's body
temperature during prolonged surgery?
- Indicate and/or describe the precautions taken to minimize
wound contamination and postoperative infection, including sterilization
of instruments, surgical scrub, surgeon's attire, use of cap, mask,
gown, sterile gloves, and drapes.
In the example of the nephrectomy used above, the following
may be stated:
The dog is anesthetized, intubated, clipped and the site given
an initial scrub with BETADINE® surgical scrub in the canine procedure
room. The dog is draped and transported to the surgery. It is
placed in lateral recumbency, and the site scrubbed two more times
using the BETADINE® solution. A final wash with 70% ethanol is
used. The surgical site is isolated with four sterile towels fixed
with towel clamps. A large sterile fenestrated drape is placed
over the entire dog. All instruments are sterilized in a steam
autoclave. The surgeon and assistant (after scrubbing, gowning
and gloving) with assistance from a circulating staff member,
aseptically opens the pack(s) in which instruments and other materials,
devices, suture materials, may then be used by the surgeon(s).
All suture material, fluids and other materials are sterile. The
surgeon and his assistant wear scrub-clothes, surgical masks and
caps. They then scrub for 10 minutes using e.g., BETADINE® surgical
scrub for 10 minutes in the separate scrub area or room. The surgeon(s)
then aseptically put on sterilized gown and gloves.
The entire procedure is performed aseptically. Other personnel
not performing surgery are required to wear scrub clothing, caps,
and masks in the operating room at all times. They follow the
principles of aseptic technique in assisting the surgeons and
in monitoring and maintaining a surgical plane of anesthesia.
The surgical facility is wet mopped with an appropriate detergent-disinfectant,
e.g., a quaternary ammonium compound, and all surfaces are decontaminated
using an appropriate disinfectant prior to all operative procedures.
- Indicate and/or describe postoperative care, including
monitoring of recovery from anesthesia, use of analgesics, antibiotics,
fluids, wound dressings, suture removal, and monitoring for postoperative
complications, including infections (give specific doses, routes
and frequency of use, where applicable):
It is required that the animals recovering from general anesthesia
be monitored by either investigative personnel or by members of
the Division of Laboratory Animal Medicine (DLAM). Provisions
for monitoring for recovery should be described as well as the
specific room where the recovery will take place. It is important
to note that, in almost all cases where the animal is returned
to the basement recovery room, the intensive care unit (ICU) or
to the animal's normal housing room after 4 P.M., the investigative
group must assume this responsibility. Animals recovering from
general anesthesia should not have food or water available to
them until they are capable of maintaining sternal recumbency
and have a good swallowing reflex. Criteria for assessing when
it is safe to remove the endotracheal tube include an easily elicited
tracheal cough and an increase in jaw tone. The animal's respiratory
rate, mucous membrane color and capillary refill time must be
observed closely after extubation.
The animal must not be left unattended until it is deemed suitably
recovered from anesthesia, i.e., the animal is extubated, is capable
of maintaining sternal recumbency, vital signs have stabilized
and are indicative of an uncompromised recovery.
During the acute recovery phase it is expected that the recovering
patient be examined every 15-20 minutes and observations recorded
on the post-op chart. The person making the observation or manipulating
the patient in any way must also initial the record and indicate
the time that the record was initialed. It is advisable not to
offer food or water until the day after surgery in many cases.
Specifically state who will be performing these duties. Consultation
with the clinical veterinary staff of the DLAM during protocol
development, the scheduled day(s) of surgery, and during the immediate
and long-term postoperative period is essential.
Indicate or describe the analgesics, fluids or other medications
that may need to be given during the postoperative period. Describe
the criteria that will be used to determine if or when, how often,
and how much (dose) an animal would be given of a particular analgesic,
antibiotic, parenteral fluids, special diet, exercise, or anything
that would be contraindicated, due to the experimental design
and model. Indicate the proprietary and generic name of the drugs,
the dosage (mg/kg body weight), and the route and frequency of
administration. Who will be performing these duties?
If wound dressings are to be used, describe and indicate the
frequency of changing and monitoring for possible infection. If
indwelling catheters are implanted and exteriorized, describe
the frequency of monitoring, flushing, and preventive measures
to minimize risk of infection. Who will be performing these duties?
How often? What other means will be employed to monitor untoward
post-operative complications and, if any are expected, how will
they be addressed? Who will be responsible for and at what time
postoperatively will skin sutures or wound clips be removed? Under
most circumstances, sutures or skin clips may be removed between
7-10 days post-operatively.
- Describe adverse effects that may be anticipated as a
result of the surgical procedure and the steps that will be taken
to minimize pain and suffering.
Describe adverse effects, if any, which are expected as a result
of the surgical procedure. Untoward, i.e., planned or unplanned
adverse effects and how one plans to deal with them, should have
been described earlier. For example, in the case of a unilateral
nephrectomy given previously, one would not expect any adverse
effect, assuming the health of the remaining kidney. If the purpose
was to produce a central nervous system lesion, one might expect,
and, indeed want, some specific deficit in central nervous system
function
The steps that will be taken to minimize pain and suffering
may include the use of analgesics in the immediate postoperative
period, as described above. Additional steps may also involve
continuing parenteral or oral supplementation; changing the animal's
home cage environment regularly, perhaps even daily; socializing
with other dogs or humans at some designated interval and duration;
purposeful exercise; evaluation of clinical signs that are unnecessary
or extreme, e.g., ascites, that is excessive, or any other measures
that can be taken to minimize pain or suffering, but yet not compromise
the appropriateness of the animal model.
- Describe postsurgical manipulations as answered for question 15
of Section A.
- What criteria would be used to determine that a given animal should
or must be euthanatized? These criteria and decision making regarding
euthanasia should be discussed fully with the clinical veterinary
staff of the DLAM. It is recommended that you seek the assistance
of one of the Division of Laboratory Animal Medicine faculty during
the development of any recovery surgical protocol. The Committee
requires that the attending veterinarian review and approve all
recovery surgical protocols for compliance with relevant standards.
The regulation promulgated under provisions of the federal Animal
Welfare Act stipulates that this be done.
Section C - Use of Infectious Agents or Hazardous Substances
Section C need only be completed for those studies that involve the
use of infectious agents, hazardous agents, or radionuclides in living
animals.
This Section will be reviewed by members of the Environmental Health
and Safety Division. Review can require up to thirty days. You should
send a copy of the protocol to Environmental Health and Safety for
review and a written report. UCAR must receive a written evaluation
of the planned use of infectious agents, hazardous agents, and radionuclides,
specifying the safety precautions that animal care technicians, veterinarians
and other staff and faculty need to take to minimize personal risk
or risk to other animals.
There may be some kinds of experiments that require agents or substances
that cannot be handled safely and adequately. Therefore, it is important
that the question of potential hazards be explored early on in the
process of grant preparation or recruitment of new faculty. Discussions
must be held between the Environmental Health and Safety consultant
and Division of Laboratory Animal Medicine veterinarians.
The UCAR forms do not request all the information detailed below.
However, the questions and issues raised should be considered before
you seek consultation with a specialist from Environmental Health
and Safety and/or UCAR on either infectious, chemical or radionuclide
hazards.
It is very important that murine tumor cell lines, hybridomas
and other body fluid or tissues that will be inoculated into living
animals that are to be housed at the University be screened or MAP
tested for murine pathogens as well as well-known human pathogens
that can be carried in such living tissue. Arrangements for MAP testing
can be made through DLAM.
- Animals
- Identify species and approximate number of animals
to be exposed each year of your proposal. It is important
to specify the species because different species may respond
differently to a challenge from an infectious agent or hazardous
substance. For example, one species may become infected yet
not shed the agent into the environment. Likewise, the metabolism
and possible excretion of a toxic substance or one of its metabolites
may be different in different species.
The numbers of animals to be infected or exposed may have
a bearing on the extent of potential risk to personnel or
other animals. In this regard, it is important to consider
the average and maximum numbers of animals infected or exposed
at a single time, in addition to the total number of animals
to be used per year.
- Will animals exposed or infected be housed?
If yes, for how long?
Consider in quantitative terms, the dose of infectious or
hazardous agent that will be administered to a single animal.
If known, consider a qualitative estimate of the agent or
substances potential effect. For example, is the infectious
agent intact, fully virulent, attenuated, or killed? What
is known about the toxicity or potential toxicity of a particular
compound? What is the quantity of the hazardous substance
to be given to an individual animal (mg/kg body weight, if
applicable).
Consider the method of administration - intravenously, intraperitoneally,
orally in diet/water, orally by gavage, inhalation, topical
application, subcutaneously implanted mini-pump. For inhalation
exposures, or any other that may require a period of confinement,
consider the exposure chamber, and duration of confinement.
Consider where the administration of infectious agent or
hazardous substance will take place, i.e., the laboratory,
animal room or other specialized facility.
Once infected or administered with a hazardous substance,
where will the animals be housed? Is there any specific or
designated room in the animal facility, or are animals housed
in an unspecified animal room in the animal facility? If you
require that the animals be housed in any room or facility
not a part of the authorized housing space in the Vivarium,
you must scientifically justify this requirement. Consider
the facilities, caging and containment equipment as well as
procedures to be followed to protect personnel and other animals
from inadvertent exposure.
- Infectious or Potentially Infectious Agents
-
The Institutional Biosafety Committee (IBC) must review all infectious or potentially infectious agents and recombinant DNA for use in animals at the University of Rochester. To ensure an expedient review, the Principal Investigator must conduct an initial biosafety assessment and complete the Institutional Biosafety Committee registration forms (the checklists and any applicable on-line forms) for both the animal studies and the laboratory studies prior to and following animal administration. A summary or abstract of the laboratory work must be provided with the registration forms. If the laboratory work prior to animal administration has been previously reviewed and approved, please indicate with the project title and approval date. Instructions and downloadable forms are available on the IBC web site at http://www.rochester.edu/Admin/EHAS/ibcpage.htm. IBC registration submission should accompany UCAR submission to Environmental Safety.
- List the agents to be used and the animal biosafety
level required. Please refer to the "NIH Guidelines on Recombinant DNA Research" (http://www4.od.nih.gov/oba/guidelines.html) and "Biosafey in Microbiological And Biomedical Laboratories" (http://www.cdc.gov/od/ohs/biosfty/bmbl4/bmbl4toc.htm) CDC 93-8395 (DHHS/CDC Guidelines (version 4). Issued 5/99).
- If infectious agents are used in living animals, are
they shed into the environment? By what route? Given
the agent, dosage, route, age, sex, species and strain of animal
to be used, what is known about shedding the agent into the
environment?
- If blood or blood products, cells or tissue cultures, or transplantable
tumors are inoculated into animals, identify the source, type
and use of these materials. Since these materials may harbor
infectious agents, an evaluation of the source, e.g., human
patient, NIH Tumor Repository, naturally occurring tumor from
an inhouse colony, and type, e.g., rat plasma protein, cell
or tissue culture or transplantable tumor, is important. All
such biologically-derived substances must be M.A.P. (Mouse Antibody
Protection) tested to exclude adventitial viral agents, including
possible zoonotic pathogens, e.g., lymphocytic choriomeningitis
virus, which are all too commonly carried in such products.
Procedures and costs incident to obtaining M.A.P. testing can
be obtained from the Animal Tumor Research Facility of the Cancer
Center or from the DLAM office. How will these materials be
used? As antigens to produce antibodies? To produce tumors in
animals? As cell transplants to correct deficiency states?
- Potentially Hazardous Substances
Individuals working with compounds suspected of being potentially
hazardous should work with UCAR and with the Environmental Health
and Safety to develop a protocol. Specify in which category above
the substance is categorized. Specify the amount to be administered
to each animal and/or the dosage on a mg/kg body weight basis.
In addition, also give the route of administration, the dosing
schedule, i.e., once, twice, three times, at weekly intervals.
Consider how much of the substance is known to be eliminated into
the environment. What is excreted? Is it the parent compound,
element, metabolite? How much of the dosage and over what period
of time is it eliminated into the environment? What is its biological
half-life? What is the route by which it is excreted? (Feces,
urine, expired air, sebaceous or lacrimal secretions.)
- Radionuclides
Specify the isotope and amount given per animal.
Specify the isotope and provide the dosage e.g., microcurie/animal
or per kilogram of body weight. What is the average and maximum
number of animals to be administered the isotope at any one time?
Has the use of Radionuclides been reviewed and approved? Have
you been provided with the safety precautions to be used?
If not, submit the protocol for review to Environmental Health and
Safety. A copy of the review and approval should be submitted
to the "Radiation Safety Officer" extension x5-1473, PO Box HPH,
Room G-8842. Please be sure to identify the review by the UCAR Protocol
Number, if known.
Consider methods of disposal of infectious agents and hazardous
substances, animal waste and carcasses (e.g. cremation, autoclaving,
chemical disinfection or destruction)
If chemical disinfection is used, consider the proprietary and/or
generic name, the concentration used, and the duration of exposure.
If autoclaving is used, how is the autoclave monitored, e.g., spore
strips, temperature sensitive device, recording device? What is the
temperature achieved and the time held at that temperature?
Manual on the Responsible Care and Use
of Laboratory Animals
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