{"id":1408,"date":"2026-05-24T15:00:00","date_gmt":"2026-05-24T18:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1408"},"modified":"2026-05-24T15:00:00","modified_gmt":"2026-05-24T18:00:00","slug":"rss-clinica-paliativa-pediatrica-sedacao-eca-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/rss-clinica-paliativa-pediatrica-sedacao-eca-rss\/","title":{"rendered":"RSS cl\u00ednica paliativa pedi\u00e1trica \u2014 seda\u00e7\u00e3o ECA"},"content":{"rendered":"<h2>Por que paliativos pedi\u00e1tricos exige perfil espec\u00edfico<\/h2>\n<p>Centro de <strong>cuidados paliativos pedi\u00e1tricos (CPP)<\/strong> atende crian\u00e7a\/adolescente com <strong>doen\u00e7a amea\u00e7adora vida (LLT \u2014 life-limiting condition)<\/strong>: <strong>oncologia pedi\u00e1trica fase fim<\/strong> + <strong>distrofia muscular Duchenne<\/strong> + <strong>fibrose c\u00edstica terminal<\/strong> + <strong>AME (atrofia muscular espinal)<\/strong> + <strong>mitocondrial fatal<\/strong> + <strong>trauma terminal p\u00f3s-UTI<\/strong> + <strong>suporte fam\u00edlia luto<\/strong>. Combina <strong>seda\u00e7\u00e3o paliativa pedi\u00e1trica (CFM 1.805)<\/strong> + <strong>bomba morfina infus\u00e3o domiciliar<\/strong> + <strong>suporte ventilat\u00f3rio n\u00e3o invasivo<\/strong> + <strong>psicoterapia luto<\/strong> + <strong>assist\u00eancia espiritual ECA<\/strong>. Opera sob RDC 222 + Lei 8.069 ECA art. 7 + Portaria 825\/2016 RAS Cuidados Paliativos + CFM 1.805\/2006 + Resolu\u00e7\u00e3o SBP + LGPD art. 14 crian\u00e7a.<\/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 acesso vascular permanente (Hickman, port-a-cath)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco morfina\/fentanil\/midazolam pedi\u00e1trico<\/td>\n<td>B (controlado A1 Portaria 344)<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material curativo escara pedi\u00e1trica + pr\u00e9-mortem<\/td>\n<td>A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI adaptado pedi\u00e1trico (luva PP, m\u00e1scara N95 mini)<\/td>\n<td>A1 baixa<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material espiritual\/l\u00fadico p\u00f3s-\u00f3bito (len\u00e7ol, ursinho)<\/td>\n<td>D (n\u00e3o-RSS)<\/td>\n<td>vari\u00e1vel<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>3-9 kg\/m\u00eas<\/strong> + farm\u00e1cia 344 robusta.<\/p>\n<h2>Cap\u00edtulo seda\u00e7\u00e3o paliativa pedi\u00e1trica + ECA<\/h2>\n<p>Seda\u00e7\u00e3o paliativa em crian\u00e7a CFM 1.805 + ECA:<\/p>\n<ul>\n<li><strong>N\u00c3O \u00e9 eutan\u00e1sia<\/strong> (proibida CFM\/ECA)<\/li>\n<li>TCLE pais + assentimento crian\u00e7a \u22657 anos (CFM 1.995)<\/li>\n<li>Comit\u00ea Bio\u00e9tica Hospitalar pr\u00e9-decis\u00e3o<\/li>\n<li>Midazolam + morfina protocolo escalonado<\/li>\n<li>Livro 344 separado pedi\u00e1trico SNGPC mensal<\/li>\n<li>Comunica\u00e7\u00e3o SUS DataSUS + Conselho Tutelar (acompanhamento ECA)<\/li>\n<li>Arquivo prontu\u00e1rio 30 anos (crian\u00e7a) + LGPD art. 14 destacado<\/li>\n<li>Auditoria SBP + AMB + CFM trimestral<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Ambulat\u00f3rio paliativos pedi\u00e1tricos (consulta + bomba domiciliar):<\/strong> R$ 280-580\/m\u00eas. Setup R$ 4-9k.<\/p>\n<p><strong>Perfil 2 \u2014 Hospice infantil (8-15 leitos):<\/strong> R$ 800-1800\/m\u00eas. Setup R$ 12-25k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (hospice + UTI paliativa + multidisciplinar):<\/strong> R$ 1800-4500\/m\u00eas. Setup R$ 25-55k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Frasco morfina pedi\u00e1trica saco branco \u2014 controlado 344 A1<\/li>\n<li>Sem comit\u00ea bio\u00e9tica seda\u00e7\u00e3o \u2014 ECA + auto CFM<\/li>\n<li>Sem assentimento \u22657 anos \u2014 anula\u00e7\u00e3o ECA<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cuidados paliativos pedi\u00e1tricos<\/a><\/strong> \u2014 cap\u00edtulo seda\u00e7\u00e3o paliativa + ECA + multidisciplinar.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cuidados paliativos pedi\u00e1tricos: crian\u00e7a terminal, seda\u00e7\u00e3o paliativa, ECA, hospice infantil.<\/p>\n","protected":false},"author":3,"featured_media":1407,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[2340,2338,22,2339],"class_list":["post-1408","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-eca","tag-paliativos-pediatricos","tag-rdc-222","tag-sedacao"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1408","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=1408"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1408\/revisions"}],"predecessor-version":[{"id":3943,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1408\/revisions\/3943"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1407"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}