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BMJ 2006;332 (18 March), doi:10.1136/bmj.332.7542.0-c
Because of increasing obesity, gluteal muscles may be beyond the reach of standard green and blue needles in many patients. In a retrospective study, Nisbet (p 637) examined gluteal intramuscular injection sites of 100 consecutive patients who had had computed tomography of the pelvis. He found that muscle depth was greater than the maximum reach of a green needle (35 mm) at the ventrogluteal and dorsogluteal sites in 12 and 43 patients respectively. In 26 and 72 patients the site depths were more than 25 mm (extent of a blue needle). Nisbet recommends that intramuscular gluteal injections should be avoided for most drugs or longer needles should be used.
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What can you learn from this BMJ paper? Read Leanne Tite's Paper+