Nurten Kaya1, Artür Salmaslıoğlu2, Banu Terzi3, Nuray Turan4, Bülent Acunaş5. 1. Istanbul University, Health Sciences Faculty, Demirkapı Cad. Karabal Sk. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Bahçesi içi, 34740 Bakırköy-Istanbul, Turkey. Electronic address: nurka@istanbul.edu.tr. 2. Istanbul University, Istanbul Medical Faculty, Department of Radiology, 34093 Fatih, Ç, İstanbul, Turkey. Electronic address: artur@superonline.com. 3. Istanbul University, Istanbul Medical Faculty, Nursing Services Directorate, 34093 Fatih, Ç, İstanbul, Turkey. Electronic address: copurbanu@hotmail.com. 4. Istanbul University, Florence Nightingale Nursing Faculty, Department of Fundamentals of Nursing, Abide-i Hürriyet Caddesi, 34381 Şişli, Istanbul, Turkey. Electronic address: nkaraman@istanbul.edu.tr. 5. Istanbul University, Istanbul Medical Faculty, Department of Radiology, 34093 Fatih, İstanbul, Turkey. Electronic address: acunasb@hotmail.com.
Abstract
BACKGROUND: While administering medication through intramuscular injection, the ventrogluteal site must be used instead of the dorsogluteal site, and it is of great significance to locate the ventrogluteal site correctly. OBJECTIVE: To determine the reliability of two different methods used to determine the ventrogluteal site in intramuscular injection practice. DESIGN: A cross-sectional study. SETTINGS: A university hospital in Istanbul. PARTICIPANTS: The study population comprised 120 randomly selected healthcare personnel at a university hospital. METHODS: The ventrogluteal site was determined using the geometric (G method) and V method and these sites were scrutinized under ultrasonography. It was investigated whether there was any anatomic vessels or neural structure present, and also determined the thickness of subcutaneous tissue, musculus gluteus medius, and musculus gluteus minimus. RESULTS: Of the participants, 65.8% were female and the average age was 32.30 years and body mass index was 25.31 kg/m(2). The results showed that G and V methods were statistically significant in terms of variables. It was also found that sex affects subcutaneous tissue thickness and the skin-bone margin in the G and V method, and that body mass index determines subcutaneous tissue, musculus gluteus medius thickness and skin-bone margin. CONCLUSION: When the ventrogluteal site is used for intramuscular injection purposes, the site must be determined in line with the geometric method.
BACKGROUND: While administering medication through intramuscular injection, the ventrogluteal site must be used instead of the dorsogluteal site, and it is of great significance to locate the ventrogluteal site correctly. OBJECTIVE: To determine the reliability of two different methods used to determine the ventrogluteal site in intramuscular injection practice. DESIGN: A cross-sectional study. SETTINGS: A university hospital in Istanbul. PARTICIPANTS: The study population comprised 120 randomly selected healthcare personnel at a university hospital. METHODS: The ventrogluteal site was determined using the geometric (G method) and V method and these sites were scrutinized under ultrasonography. It was investigated whether there was any anatomic vessels or neural structure present, and also determined the thickness of subcutaneous tissue, musculus gluteus medius, and musculus gluteus minimus. RESULTS: Of the participants, 65.8% were female and the average age was 32.30 years and body mass index was 25.31 kg/m(2). The results showed that G and V methods were statistically significant in terms of variables. It was also found that sex affects subcutaneous tissue thickness and the skin-bone margin in the G and V method, and that body mass index determines subcutaneous tissue, musculus gluteus medius thickness and skin-bone margin. CONCLUSION: When the ventrogluteal site is used for intramuscular injection purposes, the site must be determined in line with the geometric method.