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Discussion

Sharp pain like burning after needle insertion

Hi. This week i've given dorsogluteal injection to a patient. I select correctly the upper/exterior area of the muscle, formed a C with my left hand, spread the skin a little with the thumb (down) and index (up) and darted the needle quickly in the center of the "C". The patient was relaxed. Right after the needle insertion and starting the medication the patient said that it was hurting a lot, like sharp or burning sensation. And with this medication (tiocolquicoside) it usually doesn't happen. The next day it occured again. What did wrong? did i hit any nerve? If so how can i prevent it from happening again? Please help. Thank you very much

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    • Featured Replies

    Please consult your co-workers who can observe /critique your technique.

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    • Author

    I really don't think the technique is wrong... I locate the spot with 3 references: iliac bone, grand trochanter and the mark that assinalates de division of the gluteal region. I give in the most external part...checked with the literature photos. Perhaps it has to do with missing soft spots? Maybe pinching instead of spreading could resolve?

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    You should be using the VG area. DG area is riskier and has more nerves.

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    • Author

    In my country there's still no introduction of that technique. We only use dorsogluteal. anyone can help?

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    You don't need an introduction. Just Google it.

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    Also: sharp object + skin = pain.

    Is it the same patient complaining of pain one day but didn't previously? Or is it different patient reacting differently?

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    Are you letting the alcohol dry completely?

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    Pretty much any IM injection I have ever had burned. It just does. I would not worry about it. It's normal. If you hit a nerve it would most likely be sharp, radiating pain.

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    • Experts

    The med is not approved for use in the US therefore nurses here would not have any experience with this drug...however, many drugs cause some burning upon injection.

    You have asked a question similar to this in the past. It would be best to check with your supervisor or another staff member in your country.

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