MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C7649E.2D1F12D0" Este documento é uma Página da Web de Arquivo Único, também conhecido como Arquivo da Web. Se você estiver lendo esta mensagem, o seu navegador ou editor não oferecem suporte a Arquivos da Web. Baixe um navegador que ofereça suporte a Arquivos da Web, como o Microsoft Internet Explorer. ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog

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‹data/hora›
‹nº›<= span style=3D'font-size:67%;mso-special-format:lastCR'>
Clique para editar o estilo do t&ia= cute;tulo mestre
‹rodapé›
Clique para editar os estilos do texto mestre
Segundo nível
Terceiro nível
Quarto nível
Quinto nível
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------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/master05.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0002.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PROPOFOL SEDATION DURING ENDOSCOP= IC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTER= ED NURSES SUPERVISED BY ENDOSCOP= ISTS<= br> Endoscopy 2006; 38 (4): 360-367
G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto; T. Kane
Dept. of Gastroenterology, Yujin Yamazaki Hospital, Hikone, Japan
F&aacu= te;bio S. Kawaguti
31/05/2006<= /div>
Serviço de Endoscopia Gastrointestinal
Hospital das Clínicas
Faculdade de Medicina da Universidade de São Paulo
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Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
INTRODUÇÃO
nEndoscopia: deve= ser o menos desconfortável e dolorosa = nSeda&= ccedil;ão: benzodiazepínicos + opióides desde = anos 1980, com boa aceitação pelos pacientes
<= span class=3DBB style=3D'position:absolute;left:-3.77%;top:.39em'>nDesva= ntagens: atraso na ação, recuperação lenta <= /div> nIDEAL: ação imediata, duração adequada, rápida recuperação, amnésia, poucos efeitos colaterais
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Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
INTRODUÇÃO
nPROPOFOL (2,6-diisopropylphenol):
nAgente anestésico de ação ultra-curta
nAção no SNC promovendo atividade do GABA
nVantagens:
nação rápida (30-60s)
nrápida metabolização hepáti= ca (T1/2 2-4 min)
nrápida recuperação
nmaior satisfação do paciente <= /div>
n
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
INTRODUÇÃO
nPROPOFOL:&#= 13;
nDesvantagens:
ndifícil estimar dose adequada (inicial e manutenção)
nrisco de depressão respiratória
nnão há antagonista conhecido
nAdministração: conduzida por anestesistas
nRelatos recentes: administração por enfermeiras sob supervisão de endoscopistas, com segurança
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0006.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PACIENTES E MÉTODOS
nProtocolo desenvolv= ido sob direção de Anestesista
nMédicos e enfermeiras: revisão dos consensos sobre sedaçã= o, propriedades do propofol e ACLS. Treinamento de 2 meses sob supervisão de anestesista
nConformidades com Declaração de Helsinki e comitê de ética local
nConsentimento verba= l e escrito por todos os pacientes.
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0007.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PACIENTES E MÉTODOS
nCritérios de exclusão:
nGravidez
nAlergia a derivados de ovo ou soja (listados como contra-indicaç&at= ilde;o para propofol)
nVias aéreas difíceis (incapacidade de abertura bucal, pesco&ccedi= l;o curto ou grosso)
nDoenças psiquiátricas
nASA V
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0008.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PACIENTES E MÉTODOS
nNome comercial do propofol utilizado: Diprivan
nPropofol foi administrado por enfermeiras registradas e supervisionadas por endoscopistas
nEquipamento complet= o de ressuscitação e medicamentos sempre presentes
nAdministrado em bol= us (dose inicial de 0,5 a 1,0 mg/kg – 0,8 a 1,0 se <70a e = 0,5 a 0,8 se > 70a). Doses adicionais em bolus conforme necessário, sem limite de dose
nMeta: sedação consciente
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0009.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PACIENTES E MÉTODOS
nFC, FR e SatO2 mensuradas continuamente durante procedimento. PA medida a cada 3 min.
nCateter nasal de O<= span style=3D'font-size:63%'>2 (1-3L/min): somente para = pacientes com hipoxemia (satO2 <90%)
nPropofol usado para= EDA e colonoscopia
nConsideradas complicações da sedação:
nSatO2<= span style=3D'font-size:86%'> <90%
nFC <50 bpm
nPAs <90 mmHg
<= span style=3D'mso-special-format:bullet;color:#FFCC00;mso-color-index:6;positio= n: absolute;left:-4.43%;font-family:Wingdings;font-size:70%'>n&= #13;
n
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0010.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PACIENTES E MÉTODOS
nCritérios de recuperação (avaliada por enfermeira):
nAtividade: caminhar 5 m sem instabilidade
nPadrão respiratório
nEstabilidade hemodinâmica
nOxigenação: satO2 >92%
nNível de consciência
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0011.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
PACIENTES E MÉTODOS
nQuestionário: 1000 pacientes (700 EDA; 300 = Colonoscopia):
nDor durante procedimento: 0-10 <= /div>
nDesconforto após o procedimento (naú= sea, cefaléia  ou tontura):= 0-10
nSatisfação da sedação = com propofol: 0-10
nEndoscopia GI com propofol como exame de triagem? = Sim / não sei /não&#= 13;
nColonoscopia prévia com midazolan/pethidina= , qual a preferência? Propo= fol / sem preferência / midazolan e pethidina
n
nApós 48 horas, realizado contato telef&ocir= c;nico com paciente
n
n
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0012.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
nEntre outubro de= 1998 e setembro de 2004, incluídos 27.500 pacientes = ;= n18% d= os pacientes submetidos à endoscopia preferiram não receb= er propofol ou apresentavam critérios de exclusão= .
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0013.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
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Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
nNão houve= casos de óbitos decorrentes de sedação <= /span>= nN&ati= lde;o houve necessidade de máscara de ventilação, I= OT ou ressuscitação
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0015.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
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Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
nPacientes classificados segundo critérios ASA:
nASA III: 3549 (12,9%)
nASA IV: 92 (0,3%)
nInformações insuficientes: 2414 casos = 3;
nTaxa de complicações foi maior em pacientes = com maior risco
n
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0017.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
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DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
nInternação foi necessária em 121 pacientes (0,44%)
nHDA: 81 pacientes
nPneumonia aspirativa: 4 pacientes
nColonoscopia: 40 pacientes
n
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0019.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
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Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
nRecuperação após o procedimento:
nem 15 min: 74%
nem 30 min: 100%
ntempo médio: 14,6 min
nTempo médio para alta: 24,5 min
n
n
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0021.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
nQuestionário respondido por 1000 pacientes
nApós contato telefônico 48 hs depois, apen= as 1 referiu queixa, cefaléia
nSedação prévia com midazolam e pethidina: 200 pacientes (colonoscopia)
------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/slide0022.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
RESULTADOS
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file:///C:/6539264C/Artigo-Propofol_arquivos/slide0023.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog
DISCUSSÃO
nJapão: maior= ia das endoscopias conduzidas sem sedação =
nMuitos japoneses recentemente têm escolhido fazer endoscopia com sedação
nPropofol:
nvantagens com relação aos benzodiazepínicos: ação imediata e recuperação mais rápida
nDifícil determinar dose ideal; pode causar apnéia prolongada
<= span style=3D'mso-special-format:bullet;color:#FFCC00;mso-color-index:6;positio= n: absolute;left:-4.43%;font-family:Wingdings;font-size:70%'>n<= span style=3D'mso-special-format:lastCR;display:none'>
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DISCUSSÃO
nTodos os pacient= es que apresentaram comprometimento respiratório (satO2 <85%) responderam com cateter de = O2.  <= /span> = nHipot= ensão e bradicardia foram imediatamente corrigidos com infus&atild= e;o venosa de cristalóides
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DISCUSSÃO
nEndoscopistas e enfermeiras não tinham experiência clínica prévia com propofol.
nCasos de hipoxemia: depressão respiratória influenciada pela dose de propofol
nDurante o procedime= nto: manter sedação moderada. Assim, a dose total de prop= ofol administrada foi significantemente menor que em estudos prévios:
nMargem de segurança para não utilizar O2= de rotina
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DISCUSSÃO
nCasos de apnéia (10s): 12
nHipoxemia poderia s= er atrasada se O2 suplementar de rotina
nPorém, os ca= sos não foram graves, com recuperação espontânea relativamente rápida (<20s), sem máscara de ventilação
nApnéia: depe= nde da dosagem de propofol
nMédia da dos= agem de propofol nos casos de apnéia (1,82 mg/kg) maior que a média nas EDAs (1,25 mg/kg)
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DISCUSSÃO
nSedaç&atil= de;o profunda: diminuição de reflexos contra = a dor nMaior cuidado contra resistências fixas durante colonoscopias (ris= co de perfuração) nNo estudo, índice de perfuração (0,013%) foi menor ou similar que outros estudos nAcredita-se que = se sedação moderada, paciente é capaz de reagir à dor intensa
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DISCUSSÃO
nMuitos endoscopistas ainda são relutantes em sedar pacientes idosos
nEstudos recentes mostram sedação segura e bem = tolerada para procedimentos endoscópicos
nNo estudo: idosos receberam dose inicial menor
nSedação moderada foi segura e efetiva
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DISCUSSÃO
nEstudos prévios: exclusão de pacientes ASA IV, r= isco de aspiração (obstrução ou estase) e HDA <= /span>
nNo estudo, queda de saturação em pacientes com HDA não foi maior que nos saudáveis =
nHipoxemia foi maior nos pacientes ASA IV. Comparando com estudos prévios, com O2 suplementar de rotina, incidên= cia foi maior
nSuplemento de O2 deve ser realizado em pacientes com alto risco para preve= nir hipoxemia pela sedação
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DISCUSSÃO
nEstudos anteriores: pacientes sedados com propofol recuperaram funç&atil= de;o neuro-psicológica normal em 30 min. Tempo de recuperação total médio de 15-20 min e alta, em média, 40 min
nNo estudo: recuperação 14, 6 min e alta em 24 min
nSanou e cols. : funções cognitivas ainda deprimidas após 3 ho= ras
nDose inicial de 1,5 mg/kg + infusão contínua a 9 mg/kg/h durante colonosco= pia
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DISCUSSÃO
nAntes da sedação, pacientes foram orientados a = evitar de dirigir após o procedimento nEm casos inevitáveis, foi permitido a pacientes jovens e saudáveis após 1 hora do procedimento, depois de avaliação das capacidades sensitivas e motoras =
<= span class=3DBB style=3D'position:absolute;left:-4.25%;top:.39em'>nN&ati= lde;o houve relatos de acidentes de trânsito
nApare= ntemente, recuperação mais rápida com = propofol que com benzodiazepínicos. Necessário estudos adicionais
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DISCUSSÃO
nQuestionário utilizado no estudo: sem validade estatística, porém mostram grande satisfação dos pacientes com propofol
nEmbora não h= aver grupo controle de pacientes sedados com benzodiazepínicos= e opióides, 14% que responderam o questionário tinham experiência prévia em colonoscopias, preferindo = = propofol
nPelo estudo, propof= ol satifaz melhor as expectativas dos pacientes
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DISCUSSÃO
nNo local do estu= do, as enfermeiras são treinadas e capacitadas a conduzir sedação com propofol nEmbora a análise de custo seja complexa, pode haver redução devido facilidade na indução e recuperaç&= atilde;o, melhorando a eficiência nEntretanto, o principal valor do estudo é demonstrar a seguran&ccedi= l;a da sedação com propofol.
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CONCLUSÃO
nO maior estudo so= bre propofol administrado por enfermeiras para endoscopia até hoje nA administração do propofol p= elas enfermeiras sob supervisão de endoscopistas foi segur= a e satisfez a maioria dos pacientes nA falta de agente antagonista não aumenta o risco se realizada monitoração cardiovascular e de parâmetros respiratórios de forma adequada.
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factor=3D(1.0*cltWidth)/g_origW if( cltHeight < g_origH*factor ) factor=3D(1.0*cltHeight)/g_origH newSize =3D g_origSz * factor if( newSize < 1 ) newSize=3D1 s=3DSlideObj.style s.fontSize=3DnewSize+"px" s.posWidth=3Dg_origW*factor s.posHeight=3Dg_origH*factor s.posLeft=3D(cltWidth-s.posWidth+padding)/2 s.posTop=3D(cltHeight-s.posHeight+padding)/2 if( g_scaleHyperlinks ) ScaleHyperlinks( factor ) } function _InitAnimations() { animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined'; isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq =3D document.all.tags("seq"); if( collSeq !=3D null ) { for(ii=3D0;ii numSlds ) gSldJumpIdx =3D numSlds; if ( gSldJumpIdx >=3D 0 ) { if ( gSldJumpIdx =3D=3D 0 ) gSldJumpIdx =3D 1; var jumpTo =3D parseInt(gSldJumpIdx); gSldJump =3D 0; gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) || (event && (event.keyCode=3D=3D32) ) ) parent.GoToNextSld(); } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"Fim da apresentação de slides. Clique par= a sair.", SCREEN_MODE=3D"Frames", gIsEndShow=3D0, NUM_VIS_SLDS=3D33, SCRIPT= _HREF=3D"script.js", FULLSCR_HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var gMainDoc=3Dnew Array(new hrefList("slide0002.htm",1,-1,1),new hrefList(= "slide0003.htm",1,-1,1),new hrefList("slide0004.htm",1,-1,1),new hrefList("= slide0005.htm",1,-1,1),new hrefList("slide0006.htm",1,-1,1),new hrefList("s= lide0007.htm",1,-1,1),new hrefList("slide0008.htm",1,-1,1),new hrefList("sl= ide0009.htm",1,-1,1),new hrefList("slide0010.htm",1,-1,1),new hrefList("sli= de0011.htm",1,-1,1),new hrefList("slide0012.htm",1,-1,1),new hrefList("slid= e0013.htm",1,-1,1),new hrefList("slide0014.htm",1,-1,1),new hrefList("slide= 0015.htm",1,-1,1),new hrefList("slide0016.htm",1,-1,1),new hrefList("slide0= 017.htm",1,-1,1),new hrefList("slide0018.htm",1,-1,1),new hrefList("slide00= 19.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("slide002= 1.htm",1,-1,1),new hrefList("slide0022.htm",1,-1,1),new hrefList("slide0023= .htm",1,-1,1),new hrefList("slide0024.htm",1,-1,1),new hrefList("slide0025.= htm",1,-1,1),new hrefList("slide0026.htm",1,-1,1),new hrefList("slide0027.h= tm",1,-1,1),new hrefList("slide0028.htm",1,-1,1),new hrefList("slide0029.ht= m",1,-1,1),new hrefList("slide0030.htm",1,-1,1),new hrefList("slide0031.htm= ",1,-1,1),new hrefList("slide0032.htm",1,-1,1),new hrefList("slide0033.htm"= ,1,-1,1),new hrefList("slide0034.htm",1,-1,1)); /********************************************* Frameset functions These functions control slide navigation and state of the frameset. **********************************************/ function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) {=09 var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix();=20 function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') {=20 href=3Dnew String(document.location.href)=20 Start=3Dhref.indexOf('!')+1=20 End=3Dhref.lastIndexOf('/')+1=20 if (End < Start)=20 return href.substring(0, Start)=20 else=20 return href.substring(0, End)=20 } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ClearMedia() { // Clear any sounds playing before launching another browser window. Other= wise, // in fullscreen mode, you'll continue to hear the sound in the frames mod= e. if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0; } function FullScreen() {=20 if ( PPTSld.g_animUseRuntime ) PPTSld.document.body.pause(); ClearMedia(); var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { =20 obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else =20 return gCurSld } function GetNumSlds() { =20 if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; PPTSld.location.replace(MHTMLPrefix+obj.mSldHref) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 PPTSld.location.replace(MHTMLPrefix+href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; =09 var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('


' + ENDSHOW_MESG + '

') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); /********************************************* Navigation button implementation There are 2 types of buttons: ImgBtn, TxtBtn implemented as function objects. They share a similiar interface so the event handlers can call SetActive, for example, on a button=20 object without needing to know exactly=20 what type of button it is. **********************************************/ //---------------------------------- function ImgBtn( oId,bId,w,action ) //---------------------------------- { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0=20 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { =20 obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0=20 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } =20 } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } //----------------------------------------- function TxtBtn( oId,oeId,action,chkState ) //----------------------------------------- { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { =20 this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) {=20 if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } =20 } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1=20 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() {=20 b =3D gBtnArr[this.mBorderId]=20 if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() {=20 b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState /********************************************* Context menu implementation _CM() is the function that's hooked up to the oncontextmenu event. Once we're asked to show the menu, we first build it by creating DIVs on-the-fly. Then we position it=20 within the screen area so it doesn't get clipped. Creating the DIVs using createElement() means we don't have to write out any extra HTML into the slide HTML files. **********************************************/ var sNext=3D"Avançar",sPrev=3D"Voltar",sEnd=3D"Finalizar apresenta&c= cedil;ão",sFont=3D"Arial",sArrow=3D"Seta",sFreeform=3D"Forma livre",= sRect=3D"Retângulo",sOval=3D"Elipse" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) =09 CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; s.fontFamily=3DsFont s.fontSize=3D"9pt" s.paddingLeft=3D2 } function CreateSeparator( node ) { var sObj=3DCreateItem( node ) SetCMBorder(sObj,"menu","menu") var s=3DsObj.style s.borderTopColor=3D"threedshadow" s.borderBottomColor=3D"threedhighlight" s.height=3D1 s.fontSize=3D"0px" } function CreateItem( node ) { var elem=3DPPTSld.document.createElement("DIV") node.insertBefore( elem ) return elem } function SetCMBorder( o,ltClr,rbClr ) { var s=3Do.style s.backgroundColor=3D"menu" s.borderStyle=3D"solid" s.borderWidth=3D1 s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr } ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/fullscreen.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/buttons.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhWAESAPf4AAAAAIAAAACAAICAAAAAgIAAgACAgICAgAQEBISEBASEBISEhAQEhMTExAQE /KTM9Pz8/ERERPz8BAT8/KSkpGRkhMTcxCRkxAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAMDAwP8AAAD/AP//AAAA//8A/wD//////yH5BAEAAPgALAAAAABYARIA QAj/APEJHEiwoMGDCBMqXMiwocOHECNKnEixosWLGCEiQKCRo8YDIEHig2DxAD4LKD1avDDhgUuV GUOGbHBR5QGYFBG4fHAB58EKECJEwCfUYAWPFGAygLCRKQIIUKM6WAohKUGgCikcFWh1INWoYKVS 7SrQ41GbIhGYLAuVQVOoC+IyXUuUAkG1HE3KFDhAwkgJc5/qDZmxsOHDiBMrXsy4sePDGyP7lChT 5MULmDPnlDw5YmW6FTNrfgi0aNGEZPEtbfo2bNTUpYeeRph69dPWrqvCNFuBIGG1A59CYPAVQtwF cw0OxWdTIOiBCQAjaAB17fOFII8voGmRc+eOkilm/z9OvTtnjN4hYk1YoT3H2rnBOphPAB9skgq3 2lcaX/5YnJVt9BloAar12UEIRGCZdQghMABI1Tn32IQUVthYexhmqGGGMBHAgIfEhSiiiATAtOGJ GnYI4ogsEldicAYOGNJGZaml3Y0L3NTZUBz1xlB0PUoUI0jlVWRSVN89xBKSGB1YU1TMoRfVBEle hR9HQs1GEHxQ3RZZbveZthxt/LEmXHyp5XWABSCpaRJwbM13gAACPHVccgJFgF+NEhqUAEkQSCfc ddhVhh5dVTaEAEsTUNlkZUWKN9BNGDE6QU8OrSdbllzpxyVTTrU21Uj3scfhp7nNpyoDaTIEJ3P9 If8J2kbLNYegg9JRBwGhFvbq66+ZUiDssMQWK2yHxiZLrInKNotss8l+B5yBrr5p2UIJvortANoC 6+234IbLla/elRtZjeamh5CC3Sb0YLvixivvYkDFGlZqBNh7r4n6goVvv6/ZlCicN+kL71ALTnpQ dCIZp7CihkLA3UQmoWRBogyxtBPGCTnZncVR1rSTo5nuydC/Eo8kUH+lOoTyyvjoCuZu+PjYIKLD rZybtrM1d10C0QXKEVz48GrQkEeWdFJKlbb0UmEeV0SzyC6RvNB646LWIVjUNeC1zAFb+RDKXksM 9r531bwmpQW9+hQDDsx5pqwDRWBXcFES2hc+gEn/wJGdEEWdE6LoWcoxQweaTNmkhydkKaYMYY2Q p1unbLl/pPKbn3v7EZRvrKvqlja2ONvrtoIw9tn2g32/tQBlhtYkU+MNikZ7QYlPDPuMldpOmuJX nVo5VF3HjI+q89mteX5IDd/fVFClma5kiE4f2XUJhlz09gj2NbTDRifkmu7zXjR++RVJ/lPznuvr QH2iD6S+UewP9Dnon6d2NLwN8n90BB6hC68cFMCHoe+ACASP9c4DowUyEF0OPFcDI0ij/VXPaAKC UfhS95AKGoQ7IBRICI1HwhGaUIQoLGEKT6jCFrLwhSuMoQtlCMMZ2rCGOKShDm+4wxzy8Ic+DGIP B4cIRCKGMCAAOy== ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/frame.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" PROPOFOL SEDATION DURING ENDOSCOPIC PROCEDURES: SAFE AND EFFECTIVE ADMINISTRATION BY REGISTERED NURSES SUPERVISED BY ENDOSCOPISTS Endoscopy 20= 06; 38 (4): 360-367 G. Tohda; S. Higashi; S. Wakahara; M. Morikawa; H. Sakumoto= ; T. Kane Dept. of Gastroenterolog ------=_NextPart_01C7649E.2D1F12D0 Content-Location: file:///C:/6539264C/Artigo-Propofol_arquivos/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
 An= otações
Apresenta= ção de slides
Estrutura de tópicos
= =
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