What is the difference between Dorsogluteal and Ventrogluteal?
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Asked by: Antoine Stacks
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.
Is ventrogluteal and Dorsogluteal the same?
The dorsogluteal site is characterised by thicker subcutaneous fat, muscle and total tissue than the ventrogluteal site. Female gender, and waist and hip circumferences are significant predictors of subcutaneous fat thickness at both sites; male gender is a significant predictor for dorsogluteal site muscle thickness.
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.
Why is the Dorsogluteal site not recommended?
Because of the sciatic nerve location, the dorsogluteal muscle is not recommended as an injection site. If a needle hits the sciatic nerve, the patient may experience partial or permanent paralysis of the leg.
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.
Where do you inject ventrogluteal?
To administer an intramuscular injection in the ventrogluteal. Muscle i'm going to place the heel of my palm. On the greater trochanter or where my leg bone meets my hip bone i'm going to point my
How do you give an IM injection in Dorsogluteal?
Okay after you have your imaginary line drawn. You're going to just place your finger above it where your line would be and you're going to go above.
Why is ventrogluteal preferred?
Ventrogluteal site is considered as the most reliable and least painfull site for the injection applications. The reason for this; there is no large blood vessels or nerves and it is far from the bone tissue in ventrogluteal site (Beecroft and Redick 1990, Donaldson and Green, 2005, Nicoll and Hesby, 2002).
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.
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).
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.
What are the 4 types of injection?
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.
At what angle do you give an IM injection?
Insert needle at a 90o angle to the skin with a quick thrust. Retain pressure on skin around injection site with thumb and index finger while needle is inserted. Aspiration is not necessary. Multiple injections given in the same extremity should be separated as far as possible (preferably at least 1” apart).
What happens if you don’t aspirate when giving an IM injection?
We are not injecting them directly into somebody's blood vessels they are going into a muscle. The infectious diseases society of america states that the world health organization. And the cdc.
What happens if you give an IM injection too high?
Shoulder injury related to vaccine administration, or SIRVA, happens when a vaccine is injected too high or too deep in the shoulder. Injecting the vaccine this way can lead to intense and prolonged pain and other shoulder injuries, such as a rotator cuff tear or tendonitis.
How do you give a painless IM injection?
Make it as pain-free as possible
- Let the alcohol dry – This is pretty basic but, surprisingly, often skipped. …
- Insert and remove the needle quickly – a slow needle is a painful one. …
- Distract – Although some patients prefer to know when it’s coming, having their attention elsewhere actually reduces the perception of pain.
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.
Where do injections hurt the least?
Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue.
Do you massage after intramuscular injection?
The site may be briefly massaged, depending on the medication given. Some medication manufacturers advise against massaging the site after injection, as it reduces the effect and intention of the medication by dispersing it too readily or over too large an area.
How do you give a ventrogluteal injection?
So keep your hand like that take your alcohol prep and clean the side very. Well any germs in a circular motion for about three to five seconds. You're going to get your injection.
What type of injections should not be massaged?
Prescribing directions for paliperidone LAIs (Invega Sustenna and Invega Trinza) state that clinicians should avoid massaging or rubbing the injection site, as such may cause the product to breakdown and enter the bloodstream too quickly (Canterbury District Health Board, 2019).
Which site is most commonly used for intramuscular injections?
Intramuscular injections are often given in the following areas:
- Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines. …
- Vastus lateralis muscle of the thigh. …
- Ventrogluteal muscle of the hip. …
- Dorsogluteal muscles of the buttocks.
What are the 4 injection sites?
Summary. There are four sites on your body that can be used to give yourself an intramuscular injection. These include the upper arm, thigh, hip, and buttocks.
