only inject into the upper outer quadrant is the generally followed rule.
The chief danger of giving an IM injection in the wrong area of the buttocks is accidentally hitting a nerve, artery, or vein, which can cause injury or bleeding. Additionally, injecting into the wrong area can lead to pain, swelling, and discomfort for the patient.
Injecting medication into the buttock muscle in children under age 2 is contraindicated because the gluteal muscles are not fully developed and may not provide proper absorption of the medication. Additionally, the sciatic nerve runs through the buttock area, making it a risky site for injections in young children. A more suitable injection site for young children is the vastus lateralis muscle in the thigh.
no difference except for the sensory supply. if you damage your sciatic nerve, the sensory and muscle supply above the knee also lost as the sciatic nerve is damage. This is because common peroneal nerve is the brach of sciatic and it is at level of your knee. Only muscle and sensory below the knee level will be affected if you damage the common peroneal nerve. However the condition of foot drop would be the same
It is rare but possible for sciatic nerve damage to occur during a cardiac catheterization procedure, particularly if there are complications such as inadvertent needle or catheter insertion into the nerve. Immediate symptoms may include sharp pain, numbness, or weakness in the leg, and should be reported to the medical team promptly for evaluation and management.
Hitting a bone during an injection can cause increased pain, bruising, and irritation at the injection site. It can also increase the risk of infection or damage to the bone itself. It is important to double-check the placement of the needle before injecting to avoid hitting a bone.
Damage to the sciatic nerve
The chief danger of giving an IM injection in the wrong area of the buttocks is accidentally hitting a nerve, artery, or vein, which can cause injury or bleeding. Additionally, injecting into the wrong area can lead to pain, swelling, and discomfort for the patient.
Injections to the buttocks can potentially cause sciatica if they are administered incorrectly or if there is damage to the sciatic nerve during the injection. However, it is important to note that injections to the buttocks, such as steroid injections, are commonly used to treat sciatica and other conditions affecting the nerves in the lower back and legs. The risk of developing sciatica from these injections is generally low when administered by a trained medical professional.
When giving an intramuscular injection, particularly in the deltoid muscle, it's important to watch for the axillary nerve, which can be injured if the injection is administered too high or too laterally. In the gluteal area, the sciatic nerve is a major concern, and injections should be given in the upper outer quadrant to avoid it. Proper technique and anatomical landmarks should always be used to minimize the risk of nerve damage.
It is given by IM (intramuscular) injection in the recommended site of the deltoid muscle (upper arm), ideally using a one to one and a half inch long 22 or 25 gauge needle. The site should be prepped with alcohol. The vaccine may need to be shaken before use if there is any cloudiness or precipitates in the mixture. It should be stored in the refrigerator.
Dorsogluteal injections can lead to several complications, including nerve injury, particularly to the sciatic nerve, which may cause pain or motor deficits. There's also a risk of hitting blood vessels, leading to hematoma or intravascular injection, which can cause systemic reactions. Additionally, improper technique can result in tissue damage or infection at the injection site. Careful site selection and adherence to proper injection techniques are essential to minimize these risks.
Injecting medication into the buttock muscle in children under age 2 is contraindicated because the gluteal muscles are not fully developed and may not provide proper absorption of the medication. Additionally, the sciatic nerve runs through the buttock area, making it a risky site for injections in young children. A more suitable injection site for young children is the vastus lateralis muscle in the thigh.
no difference except for the sensory supply. if you damage your sciatic nerve, the sensory and muscle supply above the knee also lost as the sciatic nerve is damage. This is because common peroneal nerve is the brach of sciatic and it is at level of your knee. Only muscle and sensory below the knee level will be affected if you damage the common peroneal nerve. However the condition of foot drop would be the same
While sciatic nerve pain can be debilitating, it typically does not cause paralysis. However, if there is severe compression or damage to the nerve, it could potentially lead to muscle weakness in the leg but not complete paralysis. It is important to seek medical attention to properly diagnose and treat any issues with the sciatic nerve.
It is rare but possible for sciatic nerve damage to occur during a cardiac catheterization procedure, particularly if there are complications such as inadvertent needle or catheter insertion into the nerve. Immediate symptoms may include sharp pain, numbness, or weakness in the leg, and should be reported to the medical team promptly for evaluation and management.
we do not massage site after IM injection because it may cause underlying tissue damage
Yes, you can. Any large muscle, such as the upper arm, outer thigh, or gluteus maximus (buttocks) can be used for the intramuscular injections of flu vaccines. However, many people avoid this location for flu shots since the site can be tender and muscles sore for some time after the injection due to local reaction to the injected vaccine. It is easier to avoid hurting the site of injection when it is in the arm instead of the buttocks that could be uncomfortable sitting down.