Preventİng sciatic nerve injury due to intramusculer injection malpractİce: a literature revİew and ten years single center experience

Geyik, Sırma; Geyik, Murat; Yıgıter, Remzi; Kuzudisli, Samiye; Sağlam, Sadullah; Elçi, Mehmet Ali; Yılmaz, M.

doi:10.5137/1019-5149.jtn.16956-16.1

Cited by 11 publications

(10 citation statements)

References 22 publications

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“…Iatrogenic neuritis and neuropathy are not uncommon after injection and they should be added to the differential after a patient presents with pain seemingly out of proportion to examination findings [19][20]. Some suggest in-service training for staff using techniques for reducing the risk of serious complications, emphasizing site identification and proper hand placement [1]. A recent study found that many nurses were not explicitly taught in training about nerve sites relevant to injection [1].…”

Section: Discussionmentioning

confidence: 99%

“…Some suggest in-service training for staff using techniques for reducing the risk of serious complications, emphasizing site identification and proper hand placement [1]. A recent study found that many nurses were not explicitly taught in training about nerve sites relevant to injection [1]. Increased education for physicians using the biopsychosocial model can help treat new neuroinflammatory symptoms, and possibly avoid wastebasket diagnosis [8].…”

Section: Discussionmentioning

confidence: 99%

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Intramuscular Injection and Complex Regional Pain Syndrome Development After “Harmless” Procedures

Babineau

Alweis

2020

Cureus

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Complex regional pain syndrome (CRPS) is a puzzling pain condition, typically occurring after trauma. Incidents as innocent as IV injection and vaccine administration may serve as the impetus for an as yet poorly understood cascade of neuro-inflammation and somatosensory changes. A condition with variable degrees of psychological involvement, disability, and purely clinical diagnostic criteria, the diagnosis is often significantly delayed before effective treatment is begun, decreasing the likelihood of success. A 58-year-old female initially presented with painless peripheral edema of the left arm without erythema or loss of function, with later bilateral development of multiple domains of symptoms consistent with CRPS. Plausible initiation events in this instance were an IV insertion in the left cubital fossa and vaccination into the right deltoid. Delay in diagnosis is common but utilization of the Budapest Criteria for diagnosis and prompt treatment improves outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intramuscular Injection and Complex Regional Pain Syndrome Development After “Harmless” Procedures

Babineau

Alweis

2020

Cureus

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“…Por otro lado, las consecuencias adversas en la administración de inyecciones intramusculares -como el dolor-son un problema evitable pero persistente 22 , las cuales generan que las personas usuarias de los servicios de salud presenten miedo, incomodidad y resistencia a este procedimiento.…”

Section: Discussionunclassified

Dolor al administrar medicamento por inyección intramuscular: ventroglútea vs dorsoglútea

Rodríguez

Cordero

Espinales

et al. 2016

Revenf

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Introducción. La inyección intramuscular es una técnica que causa dolor e incomodidad a las personas. Con el objetivo de determinar la zona de punción menos dolorosa para la administración de medicamentos intramusculares en glúteo, se realizó una revisión de literatura en busca de la evidencia de mayor calidad. Método. Se empleó el método propuesto por el enfoque de la Práctica Clínica de Enfermería Basada en la Evidencia. Se recopiló estudios de EBSCOhost, Google, Google Académico, Cochrane Library y PubMed. Se aplicó los filtros propuestos para la selección: se sometió los dos artículos seleccionados a lectura crítica mediante la plataforma FLC 2.0 con la cual se valoró la calidad de los estudios. El riesgo de sesgo se valoró con The Cochrane Collaboration's tool for assessing risk of bias. A través del sistema de clasificación GRADE se determinó la calidad de la evidencia y la fuerza de la recomendación de la intervención.Resultado. Los artículos incluidos en el estudio respondieron parcialmente a la pregunta clínica planteada. La percepción de dolor durante la administración de inyectables en el sitio ventroglúteo es menor que en el dorsoglúteo, los hallazgos tuvieron un nivel de evidencia moderado y la fuerza de recomendación fue 1B.Conclusión. No hay evidencia contundente para preferir la elección del sitio ventroglúteo sobre el dorsoglúteo para disminuir el dolor asociado a la administración intramuscular de analgésicos antiinflamatorios, aunque el primer sitio posee mayores ventajas en comparación con el segundo.

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“…The common peroneal nerve (CPN) component is affected more than the tibial nerve, however, Krasnikova [68] reported that post-injection SN injury can often also be seen in pediatric cases. Mentioned injected materials causing SN neuritis included: NSAIDs, penicillin G, diazepam, and chlorpromazine [69,70]. Following injection, there may be a direct needle injury of the SN which later becomes inflamed, and potentially fibrosed; alongside chemical induced breakdown in the blood-nerve barrier, direct injury to both axon and Schwann cells occurs [71].…”

Section: ) Post-injectional Sciatic Neuropathymentioning

confidence: 99%

Extra-spinal sciatica and sciatica mimics: a scoping review

et al. 2020

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'chondromas' of the spine, which were on display in the Harvard medical school pathology museum. The presence of pain was initially, and often still is, ascribed to pressure on nerve roots. In 1956, Kelly believed that pressure on a nerve would lead to loss of function and not to pain. Later, Lindahl and Rexed (1996) reported findings from laminectomy, proving that the inflammatory response of injured nerve roots caused by prolapsed lumbar intervertebral disc (PLID), led to development of sciatica-type pain [1]. Lumbago means low back pain (LBP), and mostly exists

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Preventİng sciatic nerve injury due to intramusculer injection malpractİce: a literature revİew and ten years single center experience

Cited by 11 publications

References 22 publications

Intramuscular Injection and Complex Regional Pain Syndrome Development After “Harmless” Procedures

Intramuscular Injection and Complex Regional Pain Syndrome Development After “Harmless” Procedures

Dolor al administrar medicamento por inyección intramuscular: ventroglútea vs dorsoglútea

Extra-spinal sciatica and sciatica mimics: a scoping review

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