{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T23:43:36Z","timestamp":1761522216566,"version":"build-2065373602"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":58,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>O torniquete (TNQ) interrompe o fluxo sangu\u00edneo para um determinado segmento anat\u00f4mico e tem aplica\u00e7\u00e3o importante nas cirurgias ortop\u00e9dicas ao proporcionar um campo operat\u00f3rio limpo de sangue. Os riscos e complica\u00e7\u00f5es atribu\u00eddos ao seu uso s\u00e3o aumento da dor, les\u00e3o por reperfus\u00e3o, edema, trombose venosa profunda e les\u00e3o de nervos perif\u00e9ricos. As principais recomenda\u00e7\u00f5es para se utilizar o TNQ e diminuir a ocorr\u00eancia de complica\u00e7\u00f5es s\u00e3o: acolchoar adequadamente o membro; insuflar o torniquete at\u00e9 press\u00e3o 50\u2009mmHg acima da press\u00e3o de perfus\u00e3o para os membros superiores e 100\u2009mmHg para os membros inferiores; evitar o uso em pacientes com caquexia, crian\u00e7as, portadores de l\u00fapus e coagulopatia; evitar manter o dispositivo insuflado por per\u00edodo superior a 2 horas; e ter equipe treinada e atenta para a desinsufla\u00e7\u00e3o, caracterizada pela possibilidade de sangramento, embolia pulmonar e s\u00edndrome metab\u00f3lica mionefrop\u00e1tica. Este artigo de atualiza\u00e7\u00e3o resume a melhor evid\u00eancia acerca do emprego do TNQ nas cirurgias ortop\u00e9dicas e prop\u00f5e um protocolo para sua utiliza\u00e7\u00e3o segura.<\/jats:p>","DOI":"10.1055\/s-0045-1809690","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T22:53:22Z","timestamp":1753829602000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Recomenda\u00e7\u00f5es e protocolos para o uso seguro de torniquetes em cirurgias de extremidades superiores e inferiores"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3680-2705","authenticated-orcid":false,"given":"Antonio Tufi","family":"Neder Filho","sequence":"additional","affiliation":[{"name":"Departamento do Aparelho Locomotor, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil"},{"name":"Rede Mater Dei de Sa\u00fade, Belo Horizonte, MG, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2522-7047","authenticated-orcid":false,"given":"T\u00falio Vin\u00edcius de Oliveira","family":"Campos","sequence":"additional","affiliation":[{"name":"Departamento do Aparelho Locomotor, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"e9588","DOI":"10.5812\/ircmj.9588","article-title":"Tourniquet in surgery of the limbs: a review of history, types and complications","volume":"17","author":"A Saied","year":"2015","journal-title":"Iran Red Crescent Med J"},{"issue":"02","key":"ref2","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/j.ocl.2017.11.004","article-title":"Use of tourniquets in limb trauma surgery","volume":"49","author":"Y Bogdan","year":"2018","journal-title":"Orthop Clin North Am"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"994795","DOI":"10.3389\/fsurg.2022.994795","article-title":"Tourniquet application in primary total knee arthroplasty for osteoarthritis: A systematic review and meta-analysis of randomized controlled trials","volume":"9","author":"J Han","year":"2023","journal-title":"Front Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1308\/003588410x1251883644060","article-title":"Understanding of intra-operative tourniquets amongst orthopaedic surgeons and theatre staff\u2013a questionnaire study","volume":"92","author":"A Sadri","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"issue":"05","key":"ref5","doi-asserted-by":"publisher","first-page":"310","DOI":"10.5435\/JAAOS-20-05-310","article-title":"Safe tourniquet use: a review of the evidence","volume":"20","author":"P G Fitzgibbons","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"issue":"05","key":"ref6","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1007\/s00167-012-2094-3","article-title":"Do patients benefit from tourniquet in arthroscopic surgeries of the knee?","volume":"21","author":"Y Zhang","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"09","key":"ref7","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1055\/s-0039-1688555","article-title":"Is it better to routinely use tourniquet for knee arthroscopic surgery: A systematic review and meta-analysis","volume":"33","author":"J Wang","year":"2020","journal-title":"J Knee Surg"},{"issue":"06","key":"ref8","doi-asserted-by":"publisher","first-page":"758","DOI":"10.1177\/036354659602400610","article-title":"The effect of tourniquet use in anterior cruciate ligament reconstruction. 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