AIR-v2.0
Offline, single-file anesthesia intraoperative record, multi-save, PDF/XML
Auto = <caseNo>-<ddMMMyyyyHHmm>
Editing changes Record ID (and filenames).
1) Patient ID + overwrite manual entry
On import, Case No / Name / Age / Gender are overwritten to prevent mismatch.
2) All relevant latest lab data import with patient ID
Imports latest value per parameter with its report date.
If you had typed anything manually in the lab box, it will be overwritten by the imported summary.
3) Team Info
4) General Info

Clinical Details and Vitals

Allergies (check all options that apply)

Co-existing illness (check all options that apply)

Airway Assessment (check all that apply)

Airway Assessment (check all that apply)

Includes, Documented difficult mask ventilation; difficult laryngoscopy; failed intubation; emergency surgical airway.

Includes, Age > 55 years; BMI ≥ 30 kg/m²; Beard / facial hair; Edentulous or poor dentition; History of snoring or obstructive sleep apnea; Reduced lung compliance (stiff lungs); Reduced chest wall or abdominal compliance; Central airway obstruction.

Includes, Reduced mouth opening (< 2.5 cm); Upper airway obstruction; Distorted upper airway anatomy; Reduced cervical spine mobility; Reduced lung compliance (stiff lungs); Reduced chest wall or abdominal compliance; Central airway obstruction.

Includes, Distorted airway anatomy; Upper airway obstruction; Mouth opening < 3 cm; Thyromental distance < 6 cm; Mallampati class III or IV; Anterior sliding of mandible absent on upper lip bite test (ULBT); Reduced neck mobility; Prior neck surgery or irradiation; "Woody" or indurated or edematous submental space; Tongue edema or macroglossia.

Includes, Previous neck surgery; Neck edema or hematoma or infection; Obesity; Neck irradiation or fibrosis; Pre-tracheal or neck tumor.

Includes, Endo laryngeal procedures; Endo tracheal and endo bronchial interventions; Tracheal resection; Carinal resection; Foreign body airway removal; Tracheoesophageal fistula stenting or repair; Bronchopleural fistula repair.

Includes, Known difficult airway; Airway bleeding; Airway edema; Airway trauma; Obesity or obstructive sleep apnea; Restricted postoperative access to airway; High aspiration risk; Significant cardiovascular, respiratory, neurological, or metabolic risk.

Includes, Reduced FRC, Acute or Chronic Hypoxia; Shock; Heart failure; Severe metabolic acidosis; Pulmonary hypertension or right ventricular dysfunction.

Includes, Inadequate fasting; Intestinal obstruction; Gastric outlet obstruction; Recent trauma; Pregnancy; Obesity; Hiatus hernia; Symptomatic GERD; Conditions associated with delayed gastric emptying (e.g., diabetic gastroparesis, uremia)

Auto-fills to current date & time unless manually overwritten.
5) Monitoring selected monitors will auto-appear in vitals chart
Ticking monitors automatically adds corresponding columns in the Vitals chart. Use group Select all / Unselect all for fast entry.
Monitoring
Note: If you tick NIBP, SBP/DBP/MAP columns are auto-enabled in vitals.
Advanced / Other monitors
Note: If you tick IBP, SBP/DBP/MAP columns are auto-enabled in vitals.
Point of care diagnostics & devices
6) Vascular Access
Peripheral IV cannula
Central Venous Catheter
Arterial cannula / catheter
7) Regional Techniques (Intrathecal, Epidural, Nerve Blocks)
Auto-fills to current date & time unless manually overwritten.
Auto-fills to current date & time unless manually overwritten.
Auto-fills to current date & time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
Auto-fills to current time unless manually overwritten.
8) General Anesthesia Procedure
Tick if pre-oxygenation was performed.
Maintenance of General Anesthesia
9) IV fluids and infusions
Tip: Enter totals in mL. Leave blank if not used.
For each unit: enter volume (mL), Group & Type, Unit no., DOE, and start time (HH:mm).
PRBC
mLGroup & TypeUnit no.DOEStart
FFP
mLGroup & TypeUnit no.DOEStart
Cryoprecipitate
mLGroup & TypeUnit no.DOEStart
SDP
mLGroup & TypeUnit no.DOEStart
RDP
mLGroup & TypeUnit no.DOEStart
10) Drugs
IV drug bolus
Additional IV bolus drugs
Free text (max 150 chars each row)
Reversal of residual neuromuscular blockade
11) Vitals charting + CSV import
CSV headers accepted (case-insensitive): Time, SpO2, Pulse, ECG, SBP, DBP, MAP, RR, ETCO2, T, AGM, PIP, Pplat, PPV, SVV, CO, BIS, NMT, TEE, Notes.
12) Total Input, Blood Loss, Urine output, Other losses
Total input tally (auto-calculated)
Totals include Crystalloids (plus the approximate IV flush and diluent estimate)and Colloids fields, blood product tables.
13) Emergence and Extubation
Extubation readiness checklist — all criteria must be met
Tick each item when the target is satisfied.
Status: Incomplete
Category Parameter Threshold/Target Met
Neuro Mental status Purposeful (Eyes open / Obey commands)
Reversal Neuromuscular TOF Ratio > 0.9 (Quantitative)
O2 Oxygenation SpO2 ≥ 95% on FiO2 ≤ 0.4, PEEP ≤ 5
CO2 Ventilation RR 12–26; EtCO2 < 45 or near baseline
Airway patency Cuff leak Positive leak heard upon deflation
Effort Mechanics RSBI < 60 (RR/Vt in Liters)
Hemo Vasopressors Noradrenaline ≤ 0.1 mcg/kg/min
Temp Core temp 35.5°C to 38.0°C
Safety Airway/Surg Intact gag; No active retching; No major bleeding
14) Shifting out details and postoperative orders
Shifting out details
Auto-fills to current date/time; editable.
Auto-calculated from anesthesia start and end.
Postoperative Orders
Analgesia



Stress ulcer prophylaxis
Antiemetics
Monitor Response (ACVPU), Pulse, BP, RR, Temp, Urine output, Drains, Wound Dressing, Pain every 1 h for next 24h.
License and Medical Disclaimer
Software License: GNU GPL v3. Copyright (C) [2025] [Prof. Jyotirmay Kirtania]. This program is free software: you can redistribute it and/or modify it under the terms of the GNU General Public License as published by the Free Software Foundation, either version 3 of the License, or (at your option) any later version. This program is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY; without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU General Public License for more details. Medical Disclaimer (Cognitive Assist & Record Keeping). IMPORTANT: PLEASE READ CAREFULLY BEFORE USE. NOT A MEDICAL DEVICE: This tool is a Clinical Decision Support System (CDSS) intended for educational and cognitive assistance purposes only. It has not been cleared or approved by the FDA, EMA, or any other regulatory body for use as a primary medical device. NO SUBSTITUTE FOR CLINICAL JUDGMENT: This tool is designed to assist, not replace, the clinical judgment of qualified healthcare professionals. All calculations and logic must be independently verified against institutional standards before clinical application. DATA PRIVACY: This tool is designed to run locally on the user's device. No data is transmitted to external servers by the software. The user is solely responsible for ensuring that the use of this tool complies with local patient data privacy laws (e.g., HIPAA, GDPR) and institutional IT policies. LIMITATION OF LIABILITY: In no event shall the authors or copyright holders be liable for any claim, damages, or other liability, whether in an action of contract, tort, or otherwise, arising from, out of, or in connection with the software or the use or other dealings in the software.