What is the difference between ventrogluteal and dorsogluteal?

Background: Although the dorsogluteal region is frequently used for intramuscular injections, the ventrogluteal region is suggested as a more secure injection site due to its distance to the neurovascular structures. However, there are no measurements regarding the distances of these structures.

Is ventrogluteal better than Dorsogluteal?

No statistical difference has been found between the muscle thickness of the ventrogluteal and dorsogluteal injections sites (p&lt,0.01). Conclusion: According to the distance to sciatic nerve, the ventrogluteal injection site seems a more advisable and safe injection point.

Why is the ventrogluteal site preferred over Dorsogluteal?

With studies in recent years, it is recommended to use of ventrogluteal site instead of dorsogluteal site for injection because of it is away from the sciatic nerve and large blood vessels, it is more easy to identify and for reasons such as the subcutanous tissue is being more thinner for intramuscular injection.

Where is the Dorsogluteal site located?

On the outside of the thigh between the hip and the knee. Gluteus Medius. These are called dorsogluteal injections. It’s an injection into the buttocks.

How do you identify a ventrogluteal site?

Finding the ventrogluteal site

Have your friend, family member, or caregiver, place the palm of their hand on the greater trochanter of the femur. This is the bony part that sticks out of your upper thigh near your hip. They will then locate the anterior iliac crest and place your index finger on it.

Where do you inject testosterone?

Testosterone injections are typically intramuscular – that is, given directly into a muscle. Two relatively easy and accessible sites for intramuscular injection are the deltoid (upper arm) or the glut (upper back portion of the thigh, ie, the butt cheek).

Why is the Dorsogluteal site not recommended?

Recent literature state that dorsogluteal site should not be preferred for intramuscular injection. Because the dorsogluteal site is close to the sciatic nevre and the superior gluteal nerve and artery and subcutaneous tissue at the dorsogluteal site is thick.

Which site is no longer recommended for intramuscular injections?

The dorsogluteal muscle of the buttocks was the site most commonly selected by healthcare providers for many years. However, due to the potential for injury to the sciatic nerve, the ventrogluteal is most often used now. This site is difficult to use this site for self-injection and not recommended.

Are gluteal injections safe?

Glute injection – Everything You Need To Know – Dr. Nabil Ebraheim

What are the cons of using the ventrogluteal site?

Disadvantages: If the injection is given inferior or medially from the intended ‘upper outer quadrant’ this may result in: Damage to the sciatic nerve, leading to pain or paralysis (temporary or permanent) Inadvertent administration of the drug intravenously by entering the superior gluteal artery.

What types of shots are given in the buttocks?

Common sites for intramuscular injections include the deltoid muscle of the upper arm and the gluteal muscle of the buttock.

Intramuscular injection
CPT 96372

Is Dorsogluteal safe?

However, there are dangers associated with erroneous performance of this task, particularly with dorsogluteal IM injections. Dangers include damage to the sciatic nerve, with symptoms including complete paralysis of the muscles supplied by portions of the sciatic nerve, sensory loss, and paraesthesias.

What are the 5 injection sites?

IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis3,10,11 (Figure 1).

How many ml is a ventrogluteal?

The ventrogluteal muscle can accommodate up to 2.5 ml, with a maximum volume of 3 ml. The rectus femoris and vastus lateralis remain the recommended sites for volumes up to 5 ml in adults.

What is ventrogluteal muscle?

Ventrogluteal. The site involves the gluteus medius and minimus muscle and is the safest injection site for adults and children. The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat.

Do you aspirate ventrogluteal?

Usual sites for delivering an IM injection include the deltoid, vastus lateralis, ventrogluteal and dorsogluteal muscles. The first 3 are recommended due to their avoidance of any proximity to major blood vessels and nerves. Aspiration is NOT required for these sites.

How do you give yourself a testosterone shot in the buttocks?

To find the correct location for injecting into the Gluteus maximus muscle, expose the buttocks and divide (in your mind) each buttock into four parts. Aim the injection into the upper quarter of the buttock (X on the diagram), towards the hip bone portion. The picture on the left shows the position for self-injection.

Can you inject testosterone in your balls?

Doctors may recommend testosterone injections to treat males with low testosterone levels. Low testosterone production by the testicles is called hypogonadism.

What time of day is best to inject testosterone?

What’s the best time of day to inject testosterone? Traditionally, it’s the morning. It’s not scientifically necessary to inject testosterone in the morning, though our testosterone is at the highest levels in the morning.

Is Dorsogluteal intramuscular?

A significant number of dorsogluteal intramuscular injections are administered into subcutaneous tissue rather than muscle because needles are too short for populations with body mass indexes over 25, especially women. Poor landmarking often results in improperly placed injections.

Which muscle is used for a Ventrogluteal injection?

The ventrogluteal site involves the gluteus medius and minimus muscles and is a safe injection site for adults, children, and infants. This site provides the greatest thickness of gluteal muscle that is free of penetrating nerves and blood vessels and it has a narrower layer of fat.

What is the Z track technique?

The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.

Can you give 2 mL in deltoid?

The deltoid site is mostly commonly used for immunizations. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).

How many mL Can you give intradermal?

The dosage of an ID injection is usually under 0.5 ml. The angle of administration for an ID injection is 5 to 15 degrees. Once the ID injection is completed, a bleb (small blister) should appear under the skin. Checklist 56 outlines the steps to administer an intradermal injection.

What medications are given intramuscularly?

Drugs may be given intramuscularly both for prophylactic as well as curative purposes, and the most common medications include[2]:

  • Antibiotics- penicillin G benzathine penicillin, streptomycin.
  • Biologicals- immunoglobins, vaccines, and toxoids.
  • Hormonal agents- testosterone, medroxyprogesterone.

Which is the safest quadrant to give an injection without injuring the sciatic nerve?

The sciatic nerve passes through the lower medial quadrant. To avoid damaging the sciatic nerve therefore, intramuscular injections are given only in the upper lateral quadrant of the gluteal region.

How do you give a Ventrogluteal injection?

How to Give an IM Intramuscular Injection Ventrogluteal Buttock Muscle

Where do you inject in the thigh?

Typically, people who need to self-administer injections use the vastus lateralis muscle in the thigh. To locate the correct spot, imagine dividing the thigh vertically into three equal parts. Give the injection into the outer top part of the middle section.

How do you flex ventrogluteal?

How To Give IM Ventrogluteal Injection Standing Up

What happens when you hit a nerve when giving an injection?

Other injection site events

If a nerve is hit, the patient will feel an immediate burning pain, which can result in paralysis or neuropathy that does not always resolve.

What is the peanut butter shot?

The peanut butter shot is what the military calls an injection of bicillin. Bicillin is another name for penicillin, and it is used to both prevent and treat bacterial infections. This painful injection would cause recruits to pass out.

Is the Moderna vaccine intramuscular?

Administer the vaccine immediately by intramuscular (IM) injection in the deltoid muscle.

What are the 3 types of injections?

The three main routes are intradermal (ID) injection, subcutaneous (SC) injection and intramuscular (IM) injection. Each type targets a different skin layer: Subcutaneous injections are administered in the fat layer, underneath the skin. Intramuscular injections are delivered into the muscle.

Can bicillin be given in deltoid?

Such severe effects have been reported following injections into the buttock, thigh, and deltoid areas.

What are the four types of injections?

The four most frequently used types of injection are:

  • Intravenous (IV) injections. An IV injection is the fastest way to inject a medication and involves using a syringe to inject a medication directly into a vein. …
  • Intramuscular (IM) injections. …
  • Subcutaneous (SC) injections. …
  • Intradermal (ID) injections.

How much can be injected subcutaneously?

It is currently believed that the maximum volume for SC injections is approximately 1.5 mL. Larger SC injection volumes are considered to be associated with injection pain and adverse events at the injection site.

What is the maximum volume for intramuscular injection infant?

The maximum volume should not exceed 1 mL. If the skin is stretched flat, a 1/2 inch needle is sufficient.

Do you massage after intramuscular injection?

For post-injection care, all evidence directs that clinicians should not massage the injection site.

How do you pronounce ventrogluteal?

How To Say Ventrogluteal – YouTube

How do u know if you aspirated?

What are the symptoms of aspiration from dysphagia?

  1. Feeling that food is sticking in your throat or coming back into your mouth.
  2. Pain when swallowing.
  3. Trouble starting a swallow.
  4. Coughing or wheezing after eating.
  5. Coughing while drinking liquids or eating solids.
  6. Chest discomfort or heartburn.

What happens if you hit a blood vessel while injecting?

Hitting an artery can be painful and dangerous. Arterial blood travels away from the heart so whatever is injected goes straight to body limbs and extremities. Injection particles get stuck in blood capillaries and cut off circulation. This can result in a lack of blood flow, eventually causing the tissue to die.

What should you do if you see blood in the syringe when you aspirate?

If you see blood in the syringe, you have hit a blood vessel. If you hit a vessel, pull the needle out of the skin. Get rid of the needle and syringe, and prepare a new syringe with medicine. Insert the new needle in a different spot, and check again to see if there is blood.