Intramuscular Injection (IM) is a drug delivery technology that is often used in a variety of medical scenarios. The principle of this technology is to inject the drug directly into the muscle tissue and use the rich vascular system within the muscle to achieve faster absorption. Because muscle tissue has more blood vessels, drugs injected into the muscle often enter the blood circulation faster than methods such as subcutaneous injection.
The unique feature of intramuscular injection is that it avoids the first-pass effect faced by oral drugs.
In practice, common intramuscular injection sites include the deltoid muscle in the upper arm and the gluteus maximus muscle in the buttocks. For infants, the vastus lateralis muscle on the outside of the thigh is a common injection site. Before an intramuscular injection, the injection site must be cleaned to reduce the risk of infection, and the injection must be performed quickly to reduce patient discomfort.
Intramuscular injections are commonly used to administer vaccinations, antibiotics, hormones and other medications. Compared with intravenous injection, intramuscular injection is simpler and more effective for small volumes of drugs. This method also plays an important role in delivering a slow-release drug, allowing the drug to be released continuously and have a long-term therapeutic effect.
Vaccinations, especially inactivated vaccines, are often administered by injection into a muscle.
However, while intramuscular injections have their advantages, they also carry some potential risks. These risks include pain, redness, swelling, and inflammation at the injection site and, in rare cases, damage to surrounding nerves and blood vessels, causing severe pain or paralysis.
Not everyone is suitable for intramuscular injections. Patients with low platelets or bleeding problems should avoid intramuscular injections. Likewise, conditions such as muscle wasting or neuromuscular disease may affect the effectiveness of this injection technique. Furthermore, recent studies have shown that improper injection site selection has the potential to lead to unnecessary complications.
Improper selection of injection site may lead to unnecessary complications.
In addition to the risks of injecting in the wrong area, the risk of infection is also a serious issue that needs to be taken seriously. Because the injection requires puncturing the skin, proper aseptic technique is essential to prevent infection from bacteria or other pathogens in the environment.
There are various techniques for administering intramuscular injections. The injector needs to clean the selected injection site and choose the appropriate angle and needle length according to the characteristics of the required medicine and the specific situation of the patient when injecting. During injection, the syringe must be kept stable and the needle must be removed immediately after injection. If necessary, light pressure can be applied with gauze to reduce bleeding.
The Z-track method can prevent drug leakage in the subcutaneous tissue and ensure effective drug release.
The technique and needle length may need to be adjusted appropriately for different ages or body types. Especially for infants and the elderly, a shorter needle may be more appropriate to avoid injecting too deeply.
With the continuous advancement of medicine, the techniques and methods of intramuscular injection are also constantly evolving. Historically, this technology has been around since 500 AD and has become increasingly sophisticated over time. Today, intramuscular injections have become an indispensable part of medicine, especially playing an important role in vaccination and emergency response.
Thus, despite its technical demands and risks, intramuscular injections remain a key tool in the fight against disease. Have you ever thought about how injection technology will change and innovate in the future as technology advances?