Gluteal injections in increasingly obese population: Essential considerations for intramuscular injections

doi:10.1136/bmj.332.7544.795-a

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Saurabh Rai, vascular research fellow (saurabh_rai@hotmail.com),
Nidhi Nandan, senior house officer

University Hospital Birmingham NHS Trust, Selly Oak Hospital, Birmingham B29 6JD
Royal Shrewsbury Hospital, Shrewsbury SY3 8XQ

EDITOR—We agree with Nisbet that standard available needles may be inappropriate for gluteal intramuscular injections, especially when the incidence of obesity is increasing.1 However, his paper seems to exaggerate the problem.

Firstly, there are other preferred sites for intramuscular injections—for example, the mid-deltoid, rectus femoris, and vastus lateralis.2 Simpler clinical variables such as the weight of …