{"id":1258,"date":"2026-05-21T14:00:00","date_gmt":"2026-05-21T17:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1258"},"modified":"2026-05-21T14:00:00","modified_gmt":"2026-05-21T17:00:00","slug":"pgrss-pediatria-alta-complexidade-uti-ped-onco-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-pediatria-alta-complexidade-uti-ped-onco-rss\/","title":{"rendered":"PGRSS pedi\u00e1trica alta complexidade \u2014 UTI ped e onco"},"content":{"rendered":"<h2>Por que pediatria alta complexidade tem perfil espec\u00edfico<\/h2>\n<p>Centro pedi\u00e1trico de alta complexidade combina <strong>UTI pedi\u00e1trica (UTIPed)<\/strong> + <strong>oncologia pedi\u00e1trica (LLA, neuroblastoma, tumor Wilms)<\/strong> + <strong>cardiologia pedi\u00e1trica intervencionista<\/strong> + <strong>transplante hep\u00e1tico\/renal pedi\u00e1trico<\/strong> + <strong>TMO pedi\u00e1trico (transplante medula \u00f3ssea)<\/strong>. Volume cir\u00fargico + invasivo alto, com <strong>dose ajustada por superf\u00edcie corporal<\/strong> (m\u00b2) e <strong>EPI espec\u00edfico para porte pedi\u00e1trico<\/strong>. Opera sob RDC 222 + RDC 50 + RDC 7\/2010 + Pol\u00edtica Nacional Aten\u00e7\u00e3o Sa\u00fade Crian\u00e7a + Diretrizes SBP.<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Material ventila\u00e7\u00e3o mec\u00e2nica pedi\u00e1trica (TET, circuito)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>5-15 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco QT pedi\u00e1trica (vincristina, asparaginase)<\/td>\n<td>B (citost\u00e1tico)<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material pun\u00e7\u00e3o venosa central pedi\u00e1trica (CVC, PICC)<\/td>\n<td>E + A1 RA<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Equipo IV pedi\u00e1trico (microgotas)<\/td>\n<td>A1 RA<\/td>\n<td>4-10 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco sedativo+anest\u00e9sico pedi\u00e1trico<\/td>\n<td>B (controlado SNGPC)<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>12-35 kg\/m\u00eas<\/strong> (centro m\u00e9dio).<\/p>\n<h2>Cap\u00edtulo dose ajustada por SC<\/h2>\n<p>Pediatria exige c\u00e1lculo por superf\u00edcie corporal (m\u00b2):<\/p>\n<ul>\n<li>F\u00f3rmula Mosteller: SC = \u221a(altura cm \u00d7 peso kg \/ 3600)<\/li>\n<li>Exemplo: crian\u00e7a 18kg + 110cm = 0,74 m\u00b2<\/li>\n<li>Dose adulto-padr\u00e3o dividida proporcionalmente<\/li>\n<li>Frasco multidose com volume residual = <strong>descarte espec\u00edfico<\/strong> (custo unit\u00e1rio >R$ 1000)<\/li>\n<li>Spillage minimization (especialmente quimioter\u00e1picos importados)<\/li>\n<li>Protocolo extravasamento + spill kit por sala (crian\u00e7a = mais movimenta\u00e7\u00e3o)<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio pedi\u00e1trico ambulatorial:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Hospital pedi\u00e1trico m\u00e9dio (com UTI ped):<\/strong> R$ 1500-3500\/m\u00eas. Setup R$ 22-50k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro de Refer\u00eancia (UTI ped + onco ped + transplante):<\/strong> R$ 3500-7500\/m\u00eas. Setup R$ 50-100k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Material CVC pedi\u00e1trico no perfuro adulto \u2014 porte\/calibre diferentes<\/li>\n<li>Frasco QT pedi\u00e1trico no Grupo D \u2014 citost\u00e1tico Grupo B<\/li>\n<li>Sem spill kit pediatria \u2014 crian\u00e7a em movimento = risco extravasamento maior<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o pediatria alta complexidade<\/a><\/strong> \u2014 cap\u00edtulo UTI ped + onco ped + dose por SC.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de pediatria alta complexidade: UTI pedi\u00e1trica, oncologia pedi\u00e1trica, ventila\u00e7\u00e3o, QT pedi\u00e1trica.<\/p>\n","protected":false},"author":3,"featured_media":1257,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2184,824,22,2183],"class_list":["post-1258","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-onco-pediatrica","tag-pediatria","tag-rdc-222","tag-uti-pediatrica"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1258","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1258"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1258\/revisions"}],"predecessor-version":[{"id":3871,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1258\/revisions\/3871"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1257"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}