{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T05:11:08Z","timestamp":1696914668289},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,9]],"date-time":"2007-01-09T00:00:00Z","timestamp":1168300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Tourniquet ischemia is widely used in limb surgery in every age group. In adults, tourniquet\u2010related deep vein thrombosis and pulmonary embolism are recognized complications of tourniquet use. In healthy children, tourniquet\u2010associated alterations of blood clotting physiology are assumed to have no clinical impact. Antithrombotic prophylaxis is, therefore, recommended only in the presence of pertinent risk factors such as extensive surgery, congenital thrombophilia, prolonged immobilization, and indwelling central venous line, however, it is not practiced in obese, otherwise healthy children. We describe the first case of fatal pulmonary thromboembolism in an obese 12\u2010year and 3\u2010month old boy (body mass index 27.6\u2003kg.m<jats:sup>\u22122<\/jats:sup>) following tourniquet\u2010deflation after minor surgery on the lower extremity.<\/jats:p>","DOI":"10.1111\/j.1460-9592.2006.02161.x","type":"journal-article","created":{"date-parts":[[2007,1,9]],"date-time":"2007-01-09T22:13:32Z","timestamp":1168380812000},"page":"167-170","source":"Crossref","is-referenced-by-count":5,"title":["Tourniquet use in childhood: a harmless procedure?"],"prefix":"10.1111","volume":"17","author":[{"given":"INGA","family":"SINICINA","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KARL","family":"BISE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"REINHARD","family":"HETTERICH","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HELMUT","family":"PANKRATZ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,9]]},"reference":[{"key":"e_1_2_4_2_2","first-page":"29","volume-title":"The Tourniquet Manual: Principles and Practice","author":"Klenerman L","year":"2003"},{"key":"e_1_2_4_3_2","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1302\/0301-620X.71B3.2785998","article-title":"Deep vein thrombosis after elective knee surgery. 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