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

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7544.795-a (Published 30 March 2006) Cite this as: BMJ 2006;332:795
  1. Saurabh Rai, vascular research fellow (saurabh_rai@hotmail.com),
  2. Nidhi Nandan, senior house officer
  1. University Hospital Birmingham NHS Trust, Selly Oak Hospital, Birmingham B29 6JD
  2. 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 …

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