![]() If the medication or vaccine does not reach the muscle, it has not been given properly. It’s also less than ideal because of the thick skin in the area, causing injections to be too shallow. In some cases, dorsogluteal injections can cause sciatic nerve damage, leading to temporary or permanent paralysis in one of the legs or feet. It has a lot of veins and is close to the important sciatic nerve that runs from your lower back down your legs. The dorsogluteal site, or buttocks, is one of the most complicated regions for IM injections. These are called dorsogluteal injections. On the outside of the thigh between the hip and the knee. The injection point is between the armpit and shoulder. On the outside of the arm above the armpit in the deltoid muscle. Other sites for intramuscular injections include: In many cases, they’re given by a medical professional, but they can also be given as part of home care for certain conditions. Intramuscular injections are sometimes useful to administer vaccines, medications, and supplements. ![]() The injection site is specifically located just below the iliac crest on the side of the thigh. There are also fewer blood vessels and nerves in that area. Experts say it’s one of the safest areas for such injections because of the thick thigh muscles in the area. This means that.The ventrogluteal injection site is an area on the most prominent part of the hip that’s considered the preferred site for intramuscular injections. These results support earlier work by Lachman (1963), who reported that subcutaneous fat in adults in the dorsogluteal area varies from 1cm to 9cm. A study by Cockshott et al (1982) identified that of 213 adults who were injected in the dorsogluteal site by nurses, less than 5 per cent of women and 15 per cent of men would have received an IM injection into the glutei. However, when this injection site is used there is a significant risk that the drug will not reach the muscle, but will be injected into the subcutaneous tissue layer, as this area is covered with subcutaneous tissue in many people. The dorsogluteal site or the 'upper outer quadrant' as it is known colloquially, is traditionally the IM injection site of choice. As muscle tissue has relatively few sensory nerves, IM injections allow less painful administration of concentrated or irritating drugs, and also avoid such drugs damaging the subcutaneous tissue (Campbell 1995). This route of administration provides rapid systemic action and absorption of the drug in relatively large doses (up to 5ml in most sites) (Campbell 1995). The objective of an IM injection is to deliver the drug into the muscle layer beneath the subcutaneous tissue. The administration of injections is one of the skills that nurses use regularly in clinical practice. Whether it is better to use the ventrogluteal or the dorsogluteal site has not yet been debated in the UK. A study by Farley et al (1986) identified that only 12 per cent of the nursing staff in a teaching hospital in the United States used the ventrogluteal site. Nurses in the UK tend to use the dorsogluteal site as the site of choice for IM injections, despite the fact that this choice of site is ineffective, inappropriate and potentially dangerous (Table 1). The dorsogluteal versus ventrogluteal injection sites Its ultimate goal is to support practitioners in their decision-making to eliminate the use of ineffective, inappropriate, too expensive and potentially dangerous practices.' Hamer and Collinson (1999) view this as: 'Finding, appraising and applying scientific evidence to the treatment and management of healthcare. It is important that practitioners constantly re-evaluate and update the care they give and embrace the latest research findings, by applying evidence-based practice. THE EXTENT to which the ventrogluteal site is used in the UK for administering intramuscular (IM) injections is unknown (Rodger and King 2000). This article has been subject to double-blind review. These key words are based on the subject headings from the British Nursing Index. ![]() It is hoped that this review of the literature will shift everyday practice in favour of the ventrogluteal site. It describes the main reasons for using this site and outlines the complications associated with the dorsogluteal site. ![]() This article aims to raise awareness of the use of the ventrogluteal site for administering intramuscular injections. ![]() The administration of intramuscular injections is a common nursing intervention in clinical practice. ![]()
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