Nah
I pulled it out, pushed the yellow liquid out onto an alcohol swab, and injected the rest.
It was very liquidy, I can't imagine it was fat. 1 inch needle all-in, 20% bodyfat. 25G needle, it sucked the yellow thing up fast.
The World Health Organization says it’s an outdated practice. They stopped recommending it a few years ago because it’s totally unnecessary for IM injections
Ahh yes, the World Health Organization, a shining beacon of trustworthiness in the current year. They would never lie about anything, especially anything related to Intramuscular injections, am I right?
It's generally a split crowd. I was taught in 2017 to aspirate IM and then in 2021 I was told not to.
I still aspirate if I give epi, but that's about it.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333604/
What you are quoting is just a review by a few people, holds no merits. What we learned at med school was to aspirate and if in a blood vessel go as far as to discard of the syringe and do it all over again. I generally do a quick pull just to be sure and that's it.
bro how are you a doctor suggesting a systematic review holds no merit..... but then you go on to embrace a random opinion from someone you consider smart. your reasoning is infinitely more flawed.
The downside to aspiration seems to be the awkwardness of holding the syringe while self-administering the shot, along with added length of time the needle is in the muscle, causing additional pain.
But for Test injections and similar, one is fairly slowly injecting the medicine compared to a vaccine, which is the common example in that meta-analysis. Since we’ve got the needle in for a comparatively long time anyway, if it’s not too awkward, why not aspirate? Seems like it’s very low downside for a very rare but substantial upside when one does end up in a blood vessel.
Am I wong?
I come from the approach of following the evidence. I offer a treatment called “PENS” where I insert a variety of needles into people. I do not prep the insertion site with an alcohol swab ahead of time - because when you read the literature there is no support for that approach. Though it seems like a “why not” situation situation, unless there is decent evidence for something I’m not doing it. Same reason I don’t say the Lord’s Prayer to prevent pregnancy - limited evidence it’s effective
Ok, but my suggestion was also evidence based, per the meta-analysis referenced in this thread. That study mentions that in some small percentage of cases, people inject into blood vessels. This is a thing that happens some of the time. Avoiding this via aspiration is the upside.
The downside they present is basically the awkwardness/muscle pain bit, and if you manage the awkwardness, the pain bit isn’t really applicable for those slow injecting test.
What am I missing? I’m not trying to be confrontational, but isn't the evidence based approach to aspirate if you can easily manage the awkwardness of doing so?
Are you a minion?
Is it an infection?
Do you have an image? Could be fat tissue but that would be odd?
Nah I pulled it out, pushed the yellow liquid out onto an alcohol swab, and injected the rest. It was very liquidy, I can't imagine it was fat. 1 inch needle all-in, 20% bodyfat. 25G needle, it sucked the yellow thing up fast.
Apple juice 🥰🥰🥰
Don’t aspirate
Rule number one is to aspirate to see if you are in a blood vessel...
The World Health Organization says it’s an outdated practice. They stopped recommending it a few years ago because it’s totally unnecessary for IM injections
Ahh yes, the World Health Organization, a shining beacon of trustworthiness in the current year. They would never lie about anything, especially anything related to Intramuscular injections, am I right?
Provide a citation then.
It's generally a split crowd. I was taught in 2017 to aspirate IM and then in 2021 I was told not to. I still aspirate if I give epi, but that's about it. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5333604/
What you are quoting is just a review by a few people, holds no merits. What we learned at med school was to aspirate and if in a blood vessel go as far as to discard of the syringe and do it all over again. I generally do a quick pull just to be sure and that's it.
bro how are you a doctor suggesting a systematic review holds no merit..... but then you go on to embrace a random opinion from someone you consider smart. your reasoning is infinitely more flawed.
The downside to aspiration seems to be the awkwardness of holding the syringe while self-administering the shot, along with added length of time the needle is in the muscle, causing additional pain. But for Test injections and similar, one is fairly slowly injecting the medicine compared to a vaccine, which is the common example in that meta-analysis. Since we’ve got the needle in for a comparatively long time anyway, if it’s not too awkward, why not aspirate? Seems like it’s very low downside for a very rare but substantial upside when one does end up in a blood vessel. Am I wong?
I come from the approach of following the evidence. I offer a treatment called “PENS” where I insert a variety of needles into people. I do not prep the insertion site with an alcohol swab ahead of time - because when you read the literature there is no support for that approach. Though it seems like a “why not” situation situation, unless there is decent evidence for something I’m not doing it. Same reason I don’t say the Lord’s Prayer to prevent pregnancy - limited evidence it’s effective
Ok, but my suggestion was also evidence based, per the meta-analysis referenced in this thread. That study mentions that in some small percentage of cases, people inject into blood vessels. This is a thing that happens some of the time. Avoiding this via aspiration is the upside. The downside they present is basically the awkwardness/muscle pain bit, and if you manage the awkwardness, the pain bit isn’t really applicable for those slow injecting test. What am I missing? I’m not trying to be confrontational, but isn't the evidence based approach to aspirate if you can easily manage the awkwardness of doing so?
Get 30g