Two studies were deemed relevant due to their investigation of IM injection techniques related to pain, although aspiration was not a specific focus. An additional study did not identify patient experience but explored the use of aspiration by nurses during IM injection. Results : Three studies specific to aspiration and pain were identified.
Results from a study conducted in adults by Petousis-Harris et al. Despite two studies suggesting aspiration causes increased pain, only This suggests that awareness of the impact of aspiration on patient pain is not widespread.
Conclusion: Aspiration as a component of IM injections is widely discussed in the nursing profession; however, research on the topic is limited. Available literature does suggest the practice during immunizations causes increased pain.
Scant literature is available on the effects of pain during other types of IM injections such as psychotropic medications. The evidence, in addition to major organizations no longer recommending this practice during immunizations, supports our position that aspiration should not be performed during IM immunizations.
IM injections are still widely incorporated into nursing practice. Conclusions: In the paediatric vaccination setting, the practice of aspirating during the administration of an intramuscular injection is unnecessary and there is no clinical reason to suggest that these principles may not be applied when using the deltoid, ventrogluteal and vastus lateralis sites in other settings. Owing to its proximity to the gluteal artery, aspiration when using the dorsogluteal site is recommended.
Nurses must be supported in all settings, by clear guidance which rejects traditional practice and facilitates evidence-based practice. Relevance to clinical practice: Educators need to ensure that their knowledge is up to date so that what they teach is based on evidence.
This may be facilitated via regular educational updates. Further research and subsequent guidance are needed to support evidence-based practice in intramuscular injection techniques in all nursing settings. If you use long needles, you are at a higher risk of accidentally injecting into a vessel or artery..
Once you have found your injection site, sanitized it, and prepped it, you can slowly insert your needle as normal. Do not release any fluid into the injection site though. Slowly pull back on the syringe for about three seconds to aspirate the needle.
If any blood comes into the syringe, you will need to remove the needle and find a new injection site. Blood is a sign that you have hit a blood vessel or artery, and should not proceed with an injection.
Do not reuse the same needle, as this can lead to infection. Always practice good sanitation when handling needles to avoid health complications. At Bulk Syringes, you can find a variety of different accessories such as alcohol prep pads and sharps containers.
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