{"id":1301,"date":"2026-05-22T11:00:00","date_gmt":"2026-05-22T14:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1301"},"modified":"2026-05-22T11:00:00","modified_gmt":"2026-05-22T14:00:00","slug":"pgrss-clinica-medicina-dor-bloqueios-infusao-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-medicina-dor-bloqueios-infusao-rss\/","title":{"rendered":"PGRSS cl\u00ednica medicina dor \u2014 bloqueios e infus\u00e3o"},"content":{"rendered":"<h2>Por que medicina da dor tem perfil espec\u00edfico<\/h2>\n<p>Centro especializado em medicina da dor atende <strong>dor cr\u00f4nica oncol\u00f3gica<\/strong> + <strong>dor neurop\u00e1tica<\/strong> + <strong>fibromialgia<\/strong> + <strong>dor lombar cr\u00f4nica<\/strong> + <strong>dor de cabe\u00e7a refrat\u00e1ria<\/strong>. Combina <strong>bloqueios anest\u00e9sicos guiados<\/strong> (epidural, perineural, g\u00e2nglio estrelado, simp\u00e1tico lombar) + <strong>infiltra\u00e7\u00e3o intra-articular<\/strong> + <strong>infus\u00e3o IV de ketamina\/lidoca\u00edna<\/strong> + <strong>bomba de morfina implant\u00e1vel<\/strong> + <strong>eventual estimulador de medula espinhal<\/strong>. Opera sob RDC 222 + RDC 50 + Portaria 344 + Diretrizes SBED + RDC 36\/2008.<\/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>Frasco morfina\/fentanil\/cetamina vencido<\/td>\n<td>B (controlado A1 SNGPC)<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Material bloqueio (agulha Tuohy + ropivaca\u00edna)<\/td>\n<td>E + A1 risco aumentado + B<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco corticoide infiltra\u00e7\u00e3o (triancinolona)<\/td>\n<td>B (controlado)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Material bomba morfina implant\u00e1vel (cassete)<\/td>\n<td>A1 RA + B<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI bloqueio (luva nitr\u00edlica + m\u00e1scara)<\/td>\n<td>A1 baixa<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>3-10 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo infus\u00e3o IV ketamina<\/h2>\n<p>Ketamina IV em dor refrat\u00e1ria (1-5 mg\/kg\/h):<\/p>\n<ul>\n<li>Frasco vencido = Grupo B controlado A1 (Portaria 344)<\/li>\n<li>Cassete IV ao final da sess\u00e3o = A1 RA<\/li>\n<li>Sala monitorizada (paciente tolera 4-8h)<\/li>\n<li>Eventual rea\u00e7\u00e3o dissociativa = seda\u00e7\u00e3o revers\u00edvel<\/li>\n<li>Notifica\u00e7\u00e3o SNGPC + c\u00f3pia ANVISA<\/li>\n<li>Log\u00edstica reversa preferencial ao distribuidor<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio dor ambulatorial:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com bloqueios + infus\u00e3o:<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (com bomba implant\u00e1vel + estimulador medular):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco morfina vencido na pia \u2014 controlado A1 SNGPC<\/li>\n<li>Agulha Tuohy bloqueio em perfuro comum \u2014 exige perfuro espec\u00edfico calibre 17G<\/li>\n<li>Sem MTR espec\u00edfico \u2014 descumpre Portaria 344<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica medicina dor<\/a><\/strong> \u2014 cap\u00edtulo bloqueios + infus\u00e3o IV + bomba implant\u00e1vel.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de medicina da dor: bloqueios anest\u00e9sicos, infiltra\u00e7\u00e3o cr\u00f4nica, infus\u00e3o IV ketamina, opi\u00f3ides.<\/p>\n","protected":false},"author":3,"featured_media":1300,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2227,1894,2226,22],"class_list":["post-1301","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-bloqueios","tag-infiltracao","tag-medicina-dor","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1301","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=1301"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1301\/revisions"}],"predecessor-version":[{"id":3892,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1301\/revisions\/3892"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1300"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1301"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1301"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}