{"id":664,"date":"2026-05-10T19:00:00","date_gmt":"2026-05-10T22:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=664"},"modified":"2026-05-10T19:00:00","modified_gmt":"2026-05-10T22:00:00","slug":"descarte-neurocirurgia-ambulatorial-bloqueio-facetario-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/descarte-neurocirurgia-ambulatorial-bloqueio-facetario-rss\/","title":{"rendered":"Neurocirurgia ambulatorial: bloqueio facet\u00e1rio, infiltra\u00e7\u00e3o e procedimentos guiados"},"content":{"rendered":"<p>A neurocirurgia ambulatorial \u2014 tamb\u00e9m chamada de <strong>medicina intervencionista da dor<\/strong> \u2014 \u00e9 especialidade em forte expans\u00e3o que combina avalia\u00e7\u00e3o neurocir\u00fargica com <strong>procedimentos minimamente invasivos guiados por fluoroscopia<\/strong> (Raio-X) ou ultrassom: bloqueio facet\u00e1rio, infiltra\u00e7\u00e3o radicular, denerva\u00e7\u00e3o por radiofrequ\u00eancia ramal, infiltra\u00e7\u00e3o da articula\u00e7\u00e3o sacroil\u00edaca, bloqueio epidural seletivo. O perfil RSS \u00e9 <strong>m\u00e9dio com componente perfurocortante alto<\/strong>.<\/p>\n<h2>Os 5 procedimentos t\u00edpicos e seus res\u00edduos<\/h2>\n<table border=\"1\" cellpadding=\"6\" cellspacing=\"0\" style=\"border-collapse:collapse;\">\n<tr>\n<th>Procedimento<\/th>\n<th>Res\u00edduo<\/th>\n<th>Grupo<\/th>\n<\/tr>\n<tr>\n<td>Bloqueio facet\u00e1rio (cervical, tor\u00e1cico, lombar)<\/td>\n<td>Agulha 22-25G + corticoide + anest\u00e9sico + EPI<\/td>\n<td>E + A1 + B (anest\u00e9sico)<\/td>\n<\/tr>\n<tr>\n<td>Infiltra\u00e7\u00e3o radicular seletiva<\/td>\n<td>Agulha + contraste iodado + cortisona + EPI<\/td>\n<td>E + A1 + B (contraste+cortisona)<\/td>\n<\/tr>\n<tr>\n<td>Denerva\u00e7\u00e3o por radiofrequ\u00eancia<\/td>\n<td>C\u00e2nula + eletrodo descart\u00e1vel + EPI<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<tr>\n<td>Infiltra\u00e7\u00e3o sacroil\u00edaca<\/td>\n<td>Agulha + cortisona + EPI<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<tr>\n<td>Bloqueio epidural seletivo<\/td>\n<td>Agulha de Tuohy + cateter epidural + EPI<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<\/table>\n<h2>A particularidade fluorosc\u00f3pica<\/h2>\n<p>Procedimentos guiados por fluoroscopia geram res\u00edduo associado:<\/p>\n<ul>\n<li><strong>Avental e protetor de chumbo<\/strong> \u2192 reus\u00e1veis, n\u00e3o viram RSS.<\/li>\n<li><strong>Filme\/papel de impress\u00e3o de imagens<\/strong> \u2192 D ou reciclagem.<\/li>\n<li><strong>Contraste iodado<\/strong> \u2192 embalagem A1, sobra B (iodo).<\/li>\n<\/ul>\n<h2>Volume e custo m\u00e9dio<\/h2>\n<p>Consult\u00f3rio de neurocirurgia ambulatorial \/ dor (5-15 procedimentos\/dia):<\/p>\n<ul>\n<li><strong>Volume RSS A1<\/strong>: 8-20 kg\/m\u00eas.<\/li>\n<li><strong>Grupo E<\/strong>: 2-5 kg\/m\u00eas (alto pelo n\u00famero de agulhas).<\/li>\n<li><strong>Grupo B<\/strong>: 1-3 kg\/m\u00eas (cortisona, anest\u00e9sico, contraste).<\/li>\n<li><strong>Coleta especial<\/strong>: R$250-550\/m\u00eas.<\/li>\n<li><strong>PGRSS<\/strong>: R$3.000-5.500.<\/li>\n<\/ul>\n<h2>Conclus\u00e3o<\/h2>\n<p>Neurocirurgia ambulatorial \/ medicina intervencionista da dor \u00e9 gerador RSS m\u00e9dio com volume significativo de perfurocortantes. PGRSS proporcional, segrega\u00e7\u00e3o adequada A1 + E + B, aten\u00e7\u00e3o ao contraste iodado e cortisona.<\/p>\n<p>A <a href=\"https:\/\/sevenresiduosaude.com.br\/\">Seven Res\u00edduos Sa\u00fade<\/a> atende cl\u00ednicas de medicina intervencionista da dor em S\u00e3o Paulo. <a href=\"https:\/\/sevenresiduosaude.com.br\/blog\/\">Solicite avalia\u00e7\u00e3o<\/a> ao perfil espec\u00edfico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consult\u00f3rio neurocir\u00fargico ambulatorial: bloqueio facet\u00e1rio, infiltra\u00e7\u00e3o radicular, denerva\u00e7\u00e3o. Veja segrega\u00e7\u00e3o RSS, custo de coleta e regulamenta\u00e7\u00e3o.<\/p>\n","protected":false},"author":3,"featured_media":663,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1243,1245,1246,1244,1242],"class_list":["post-664","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-bloqueio-facetario-descarte","tag-denervacao-ramal","tag-dor-cronica-procedimento","tag-infiltracao-radicular-pgrss","tag-neurocirurgia-ambulatorial-rss"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/664","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=664"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/664\/revisions"}],"predecessor-version":[{"id":2416,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/664\/revisions\/2416"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/663"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=664"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=664"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=664"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}