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It is also recommended to consider using the anterolateral thigh as an injection site in infants under one year old. [28] To help infants and children cooperate with injection administration, the Advisory Committee on Immunization Practices in the United States recommends using distractions, giving something sweet, and rocking the baby side to ...
Because DTaP and DT are administered to children less than a year old, the recommended location for injection is the anterolateral thigh muscle. [medical citation needed] However, these vaccines can be injected into the deltoid muscle if necessary. [medical citation needed]
The vastus lateralis (/ ˈ v æ s t ə s ˌ l æ t ə ˈ r eɪ l ɪ s, ˈ r æ-/), also called the vastus externus, [1] is the largest and most powerful part of the quadriceps femoris, a muscle in the thigh. Together with other muscles of the quadriceps group, it serves to extend the knee joint, moving the lower leg forward.
It is recommended that an epinephrine solution be given intramuscularly into the mid anterolateral thigh as soon as the diagnosis is suspected. The injection may be repeated every 5 to 15 minutes if there is insufficient response. [9] A second dose is needed in 16–35% of episodes with more than two doses rarely required. [9]
The nerve of the anterior compartment of thigh is the femoral nerve. [2] Innervation for the quadriceps muscles come from the posterior division of the femoral nerve, while the anterior division (which contains cutaneous as well as muscular components) gives a lateral and a medial branch, the second being responsible for the innervation of the sartorius muscle. [4]
Injection site reactions (ISRs) are reactions that occur at the site of injection of a drug. They may be mild or severe and may or may not require medical intervention. Some reactions may appear immediately after injection, and some may be delayed. [1] Such reactions can occur with subcutaneous, intramuscular, or intravenous administration.
The term injection encompasses intravenous (IV), intramuscular (IM), subcutaneous (SC) and intradermal (ID) administration. [ 35 ] Parenteral administration generally acts more rapidly than topical or enteral administration, with onset of action often occurring in 15–30 seconds for IV, 10–20 minutes for IM and 15–30 minutes for SC. [ 36 ]
Subcutaneous injection sites. Commonly used injection sites include: [3]: 723 The outer area of the upper arm. The abdomen, avoiding a 2-inch circle around the navel. The front of the thigh, between 4 inches from the top of the thigh and 4 inches above the knee. The upper back. The upper area of the buttock, just behind the hip bone.