{"id":1371,"date":"2026-05-23T21:00:00","date_gmt":"2026-05-24T00:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1371"},"modified":"2026-05-23T21:00:00","modified_gmt":"2026-05-24T00:00:00","slug":"pgrss-clinica-saude-mental-tms-esketamina-ect-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-saude-mental-tms-esketamina-ect-rss\/","title":{"rendered":"PGRSS sa\u00fade mental \u2014 TMS, esketamina, ECT"},"content":{"rendered":"<h2>Por que cl\u00ednica sa\u00fade mental avan\u00e7ada tem perfil espec\u00edfico<\/h2>\n<p>Centro neuropsiqui\u00e1trico avan\u00e7ado realiza: <strong>TMS (estimula\u00e7\u00e3o magn\u00e9tica transcraniana repetitiva)<\/strong> depress\u00e3o refrat\u00e1ria + TOC + esquizofrenia + <strong>esketamina spray nasal (Spravato)<\/strong> depress\u00e3o grave\/suicida + <strong>ECT (eletroconvulsoterapia)<\/strong> com anestesia + <strong>EEG diagn\u00f3stico<\/strong> + <strong>avalia\u00e7\u00e3o neuropsicol\u00f3gica completa<\/strong>. Volume m\u00e9dio de RSS \u2014 frasco controlado (esketamina, anest\u00e9sico) + EEG eletrodo + EPI ECT. Opera sob RDC 222 + Portaria 344\/1998 (esketamina A3) + Resolu\u00e7\u00e3o CFM 2.057\/2013 (TMS) + RDC 24\/2018 (esketamina) + Lei 10.216\/2001 + LGPD art. 11 dado mental.<\/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 esketamina Spravato vencido<\/td>\n<td>B (controlado A3 Portaria 344)<\/td>\n<td>0,3-1 kg<\/td>\n<\/tr>\n<tr>\n<td>Eletrodo EEG + TMS descart\u00e1vel<\/td>\n<td>A1 baixa<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material anestesia ECT (propofol, succinilcolina)<\/td>\n<td>B (controlado)<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI ECT (eletrodo abdu\u00e7\u00e3o + paddle)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Material avalia\u00e7\u00e3o neuropsicol\u00f3gica (l\u00e1pis, papel)<\/td>\n<td>D ou A1 baixa<\/td>\n<td>1-3 kg (D padr\u00e3o)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>3-10 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo esketamina + ECT + auditoria SNGPC<\/h2>\n<p>Esketamina nasal (Spravato) \u00e9 controlada Portaria 344 A3:<\/p>\n<ul>\n<li>Aplica\u00e7\u00e3o s\u00f3 sob supervis\u00e3o m\u00e9dica (n\u00e3o dispensa\u00e7\u00e3o ambulatorial)<\/li>\n<li>Frasco vencido = Grupo B + livro 344 SNGPC<\/li>\n<li>Receitu\u00e1rio azul + arquivo 5 anos<\/li>\n<li>Auditoria Coordena\u00e7\u00e3o Estadual Sa\u00fade Mental trimestral<\/li>\n<li>ECT exige sala equipada (defibrilador + carrinho parada + anestesia)<\/li>\n<li>TMS \u00e9 n\u00e3o-invasivo, mas equipamento RAEE p\u00f3s-vida \u00fatil 10-15 anos<\/li>\n<li>TCLE espec\u00edfico cada modalidade (especialmente ECT)<\/li>\n<li>LGPD art. 11 dado mental sens\u00edvel + anonimiza\u00e7\u00e3o<\/li>\n<\/ul>\n<h2>3 perfis (POST 300!)<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio psiquiatria solo:<\/strong> R$ 130-280\/m\u00eas. Setup R$ 1500-3500.<\/p>\n<p><strong>Perfil 2 \u2014 Cl\u00ednica neuropsiqui\u00e1trica m\u00e9dia (TMS + esketamina):<\/strong> R$ 380-900\/m\u00eas. Setup R$ 4-12k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado completo (TMS + ESK + ECT + neuropsico):<\/strong> R$ 900-2200\/m\u00eas. Setup R$ 12-35k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco Spravato pia \u2014 descumpre 344 A3 + multa cassa\u00e7\u00e3o<\/li>\n<li>Eletrodo ECT saco branco \u2014 A1 RA (cabe\u00e7a + sangue eventual)<\/li>\n<li>Sem livro 344 esketamina \u2014 auto ANVISA + suspens\u00e3o prescri\u00e7\u00e3o<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica sa\u00fade mental avan\u00e7ada<\/a><\/strong> \u2014 cap\u00edtulo TMS + esketamina + ECT + LGPD mental.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica de sa\u00fade mental avan\u00e7ada: TMS estimula\u00e7\u00e3o magn\u00e9tica, esketamina nasal, ECT, neurof\u00edsica.<\/p>\n","protected":false},"author":3,"featured_media":1370,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2091,2298,2189,2297],"class_list":["post-1371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-ect","tag-esketamina","tag-saude-mental","tag-tms"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1371","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=1371"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1371\/revisions"}],"predecessor-version":[{"id":3926,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1371\/revisions\/3926"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1370"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}