Inject side in VIA

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How to Inject side in VIA

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hey everyone dr jeff peng here a bombshell article just came out highlighting even more of the toxicities of cortisone injections what im going to do is im going to review that article here as well as go over a prior article looking at why you need to start reconsidering getting cortisone injections so this practice changing article is titled rapidly destructive hip disease following inter-articular corticosteroid injection of the hip and this was published in the journal of bone and joint surgery just a few weeks ago so the purpose of this study was to evaluate for an association between corticosteroid injection and rapidly destructive hip disease and the authors did a case control analysis and they found that hip cortisone injection was in fact associated with the development of rapidly destructive hip disease they found that there was a dose response curve meaning the higher dose of steroids patients got the higher the risk of developing rapidly d

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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.

Why is the Dorsogluteal site not recommended?

Dorsogluteal. The dorsogluteal is not the preferred site due to its proximity to the sciatic nerve and major blood vessels. If landmarked correctly however, it is safe to use. Up to 4mls can be injected into this site.

Why is the ventrogluteal site not recommended?

It can be stated that the majority of the nurses did not prefer the ventrogluteal site for intramuscular injection; the reasons for not preferring this method were a lack of knowledge on determining the site and concern about harming the patients.

Which injection site is better Dorsogluteal or ventrogluteal?

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.

How do I landmark a ventrogluteal site?

They should spread their middle finger away from the index finger so that the fingers create a V shape. The injection site is in the middle of this V and should be at the level of the knuckles of your index and middle finger.

How much can you inject into ventrogluteal?

Up to 3 mL of medication may be administered in the ventrogluteal muscle of an average adult and up to 1 mL in children.

What are the pros of using the ventrogluteal site?

Advantages of the Ventrogluteal Site The skin here is also thinner, leading to a greater likelihood that the needle will docHub the muscle. Studies show that this area is more reliable than injections to the buttocks. This area can be used in adults and children age 7 months or older.

Why is ventrogluteal site preferred?

A ventrogluteal site is the most commonly used and recommended site for IM injections in adults and children of walking age because of the large muscle mass. This site is located away from the superior and inferior gluteal arteries as well as the sciatic and superior gluteal nerves,9 and is also the least painful.

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