Reviewing the “Big Three” Injection Routes

Newton, Marian; Newton, David W.; Fudin, Jeffrey

doi:10.1097/00152193-199202000-00015

Cited by 36 publications

(49 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…teal site were m ri et al [4] and C et al [4] studie ver, in the pres was not in con 2] . Pain recepto more pain fro who asserts tha finding needs m intensity in do al site.…”

Section: Resultsmentioning

confidence: 99%

“…It is seen that complications arising from intramuscular injections, of which the commonest is pain, are frequent, and are mostly caused by a lack of information and the use of unsuitable techniques [2] . Pain arising from this kind of injection generally arises from leakage of the medication and from damage to the subcutaneous tissue [3] .…”

Section: Introductionmentioning

confidence: 99%

“…This site often referred to as the upper outer quadrant: the method of dividing the buttock into four equal areas by drawing imaginary lines to bisect it vertically and horizontally has been utilized by many nurses over the years to locate this injection site [2] . Craven & Hirnle [3] suggest that the site is better located by palpating to find the greater trochanter and the posterior iliac spine, then injecting laterally and superior to the midpoint of an imaginary line joining these points.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey

Güneş

Kara²,

Arı³

et al. 2013

Clinical Nursing Studies

View full text Add to dashboard Cite

The aim of the study was to examine the effect on pain of medication administered by intramuscular injection to the dorsogluteal and ventrogluteal sites, and to investigate gender and body mass index differences in pain perception between the sites. This clinical trial was performed on 70 adult patients receiving at least two doses of diclofenac sodium intramuscularly in a state hospital in Bursa, Turkey. Two injections were administered to each patient with an interval of 24 hours by the same researcher using two injection sites. The injection sites were randomly allocated. After each injection, the pain felt by patients during the injection was immediately assessed using a visual analog scale by another researcher who had no prior knowledge of which the injection site. Numerical and percentage distribution of sociodemographic data on patients' identification characteristics were calculated. The Wilcoxon signed rank test was used to explore determine the statistical differences in perceived pain intensity between the two injection sites. Differences in the mean pain intensity at the dorsogluteal and ventrogluteal sites by BMI and gender were analysed using the paired t test. The average pain score of patients after injections to the ventrogluteal site was 1.24±1.18, while that for injections to the dorsogluteal site was 1.89±1.49. The difference in average pain scores from injections administered to the two different sites was found to be statistically significant (p<0.05). The results supported the hypothesis that intramuscular injections of diclofenac sodium administered to the ventrogluteal site would feel less painful than those administered to the dorsogluteal site.

show abstract

“…teal site were m ri et al [4] and C et al [4] studie ver, in the pres was not in con 2] . Pain recepto more pain fro who asserts tha finding needs m intensity in do al site.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Which site is more painful in intramuscular injections? The dorsogluteal site or the ventrogluteal site? A case study from Turkey

Güneş

Kara²,

Arı³

et al. 2013

Clinical Nursing Studies

View full text Add to dashboard Cite

show abstract

“…들이 있다 (Burbridge, 2007;Chan et al, 2006;Haramati, Lorans, Lutwin, & Kaleya, 1994;Lippert & Wall, 2008;Newton, Newton, & Fudin, 1992;Nisbet, 2006;Poland et al, 1997;Rai & Nandan, 2006;Zaybak, Gunes, Tamsel, Khorshid, & Eser, 2007).…”

mentioning

confidence: 99%

Gluteal Subcutaneous Fat Thickness Measured by Computed Tomography as an Estimate of Proper Gluteal Intramuscular Injections in Korean Adults

Joo

Sohng

2010

J Korean Acad Nurs

View full text Add to dashboard Cite

Purpose:To study the thickness of gluteal subcutaneous fat (SCF) and propose an adequate length for needle for gluteal intramuscular injections based on computed tomography (CT) measurements. Methods: The thickness of gluteal SCF were measured and studied for 568 patients who visited a tertiary hospital in Seoul, Korea between January 2007 and February 2009 for routine health screening and who had abdominopelvic CT. Results: The average thickness of gluteal SCF was 15.92±4.08 mm in males and 24.90±5.47 mm in females. The thickness of gluteal SCF differed significantly according to gender. The gluteal SCF thickness was greater than 20.4 mm for 54 (12.3%) of the 440 male patients and 99 (77.3%) of the 128 female patients. Conclusion: The most common syringe needle used for gluteal intramuscular injections in Korea is a 23 G, 25.4 mm-needle. The SCF thickness must be less than 20.4 mm in order to reach the dorsogluteal muscles to a depth of at least 5 mm if this 25.4 mm needle is used. In many patients, especially in female patients, the 25.4 mm needles will result in improper intramuscular injections with the injection being into the SCF. Therefore an appropriate needle should be selected by considering the gender and SCF thickness of patients receiving gluteal intramuscular injections.

show abstract

“…Injections have been used in health care since the 1860s 1 . For those with diabetes insulin injections, for many years, necessitated the use of cumbersome glass and metal syringes.…”

Section: Administration Of Insulin By Injectionmentioning

confidence: 99%