Notes on Techniques of Intramuscular Injection the Avoidance of Needless Pain and Morbidity

Zelman, Samuel

doi:10.1097/00000441-196105000-00002

Cited by 32 publications

(19 citation statements)

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“…3 Slow aspiration and slow injection time have been recommended to avoid damage to local tissues, which might cause pain, but also without scientific validation. 3,4 In this survey, only 3% of respondents aspirated for the recommended 5 to 10 seconds. The remainder aspirated far too quickly for the procedure to be effec-tive and would not have accomplished the safety objective for which it had been designed.…”

mentioning

confidence: 81%

Needle Aspiration and Intramuscular Vaccination

Ipp¹,

Sam²,

Parkin³

2006

Arch Pediatr Adolesc Med

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mentioning

confidence: 81%

Needle Aspiration and Intramuscular Vaccination

Ipp¹,

Sam²,

Parkin³

2006

Arch Pediatr Adolesc Med

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“…The VG site, which consists of the gluteus medius and minimus muscles, is located at the hip in an inverted triangle formed by the iliac crest, the anterior superior iliac spine and the greater trocanter of the femur (DuGas & Knor 1995, Perry & Potter 2002). It was first introduced in the early 1950s in response to frequent DG site complications, most notably SN injury (Zelman 1961). The VG site has gained favour and several reasons have been given.…”

Section: Intramuscular Injection Sitesmentioning

confidence: 99%

“…1970). The site is free of large penetrating nerves and blood vessels but is innervated and receives blood from multiple small nerve and blood vessel branches, thus reducing the potential for more significant injury (Zelman 1961). While there are numerous literature reports linking the DG site with complications, only one report was found of a complication from use of the VG site.…”

Section: Intramuscular Injection Sitesmentioning

confidence: 99%

“…The standing position should be avoided for injections into the gluteal muscles. Although that recommendation was made many years ago in a landmark paper on IM injection technique (Zelman 1961) and many subsequent authors concur with it (e.g. McKain & Urban 1978, Harkreader 2000, Rodger & King 2000), some have suggested still that the standing position is acceptable (e.g.…”

Section: Intramuscular Injection Techniquementioning

confidence: 99%

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Preventing sciatic nerve injury from intramuscular injections: literature review

Small

2004

Journal of Advanced Nursing

124

113

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“…For dorsogluteal injections, the sciatic nerve and superior gluteal artery lies very near to the injection site, so great caution should be taken during the procedure. On the other hand, the ventrogluteal side has a thicker gluteal muscle layer and thinner fat layer and is free of penetrating nerves and blood vessels [4]. Studies have shown that adults with lower BMI and children have a higher risk of injury because of a thinner gluteal fat pad [2].…”

mentioning

confidence: 99%

Comparing the Distances of Different Intramuscular Gluteal Injection Sites to the Sciatic Nerve

Yalçın¹

2015

J Nov Physiother Phys Rehabil

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Introduction: Sciatic nerve injury is a well-known complication of intra-muscular gluteal muscle injections. Affected individuals usually present with foot drop and this results in varying degrees of motor disability. There are different sites such as ventrogluteal, dorsogluteal that can be used for gluteal injections. In last years, the ventrogluteal site is accepted as a more safe and suitable injection site than dorsogluteal site. This study was carried out to compare the distance to the siatic nerve under the piriformis muscle of these different gluteal injection sites. The study also aimed to evaluate the muscle thicknesses at these injection sites. Materials and Methods:Twenty five participants with BMI<22 were recruited from outpatient clinic that were prescribed intramuscular treatment. Firstly, by an experienced nurse the dorsogluteal and ventrogluteal injection points have been marked. By using a linear array probe (7-12 MHz Logiq P5a) the distances of both the dorsogluteal and ventrogluteal sites to the siatic nerve just under the piriformis muscle have been measured. Later on the muscle thickness at these sites were measured. Result:The mean distances between the dorsogluteal and ventrogluteal injection points to the siatic nerve under the piriformis muscle are consecutively 9±2.3cm and 18±3.5 cm. No statistical difference has been found between the muscle thickness of the ventrogluteal and dorsogluteal injections sites (p<0.01). Conclusion:According to the distance to sciatic nerve, the ventrogluteal injection site seems a more advisable and safe injection point.has been measured and recorded. The muscle thickness (gluteus maximus) at this injection side also measured ultra sonographically.At the second step of our study, a more safe and advisable injection side has been determined at the ventrogluteal region (gluteus medius and minimus muscle) under the iliac crest. The distances of this second injection point to the siatic nerve under the piriformis muscle have also been measured. Also for standardization the distance of this advised point to the spinal iliaca anterior superior have also been measured. The muscle thicknesses at this point have also been measured ultrasonographically. ResultsThe results were evaluated by SPSS statistical software programme. Mann-Whitney U test were used to compare the differences. Eleven of the patients were woman, and 14 of them were men. The mean age of the participant was 37±13 and the mean BMI were 18± 2.5 kg. The mean distance between the dorsogluteal injection points to the siatic nerve under the piriformis muscle is 9±2.3 cm. The mean muscle thickness at this point was 22±5.6 cm. The mean distance of the second more advisable and safe injection point at ventrogluteal side to the siatic nerve was 18±3.5 cm. The mean muscle thickness at this point is 24±6.5 mm. The distance of this point to the spina iliaca anterior superior obliquely is 9.5±2.2 cm. There was a significant difference between the distance to the sciatic nerve of dorsogluteal and ventrog...

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Notes on Techniques of Intramuscular Injection the Avoidance of Needless Pain and Morbidity

Cited by 32 publications

References 0 publications

Needle Aspiration and Intramuscular Vaccination

Needle Aspiration and Intramuscular Vaccination

Preventing sciatic nerve injury from intramuscular injections: literature review

Comparing the Distances of Different Intramuscular Gluteal Injection Sites to the Sciatic Nerve

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