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If you take an intramuscular injection without aspirating the needle to make sure it's not found a blood vessel in the deltoid, you risk cardiovascular damage p

If you take an intramuscular injection without aspirating the needle to make sure it's not found a blood vessel in the deltoid, you risk cardiovascular damage pointlessly. The standard of practice is so absurd and flawed yet its going to take years longer before people like you become aware of how badly we've been mislead.

mschuster91 4y ago
This particular medical error scenario has been identified quickly with the covid vaccines and staff has been warned and trained.
nradov 4y ago
One mouse study found that vaccine injection without aspiration did significantly increase the risk of adverse cardiac events. That research hasn't been reproduced in humans but this area deserves further investigation. At least early in the pandemic, US healthcare providers weren't routinely aspirating. https://doi.org/10.1093/cid/ciab941 https://doi.org/10.1093/cid/ciab941 https://doi.org/10.1007/s43440-022-00361-4 https://doi.org/10.1007/s43440-022-00361-4 http://dx.doi.org/10.1136/postgradmedj-2021-141119 http://dx.doi.org/10.1136/postgradmedj-2021-141119
- mschuster91 4y ago
  > At least early in the pandemic, US healthcare providers weren't routinely aspirating. ... What? Here in Germany, that's like one of the basic things that people who deal with needles on anything alive learn.
  - taolegal 4y ago
    yea it doesn't happen much at all in the US, tons of normal ppl were hired to inject people and AFAIK that was never really part of instruction
  - nradov 4y ago
    I don't know the injection practices in Germany. The WHO and US CDC no longer recommend aspiration prior to intramuscular injection, mainly over pain management concerns. (I'm not claiming this is a good idea, just pointing out the current injection protocol.) https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/admi... In practice there is a wide variance between US healthcare providers depending on where they work and how they were trained. Some aspirate, some don't, some try but use the wrong technique.

mschuster91 4y ago

This particular medical error scenario has been identified quickly with the covid vaccines and staff has been warned and trained.

nradov 4y ago

One mouse study found that vaccine injection without aspiration did significantly increase the risk of adverse cardiac events. That research hasn't been reproduced in humans but this area deserves further investigation. At least early in the pandemic, US healthcare providers weren't routinely aspirating. https://doi.org/10.1093/cid/ciab941 https://doi.org/10.1093/cid/ciab941 https://doi.org/10.1007/s43440-022-00361-4 https://doi.org/10.1007/s43440-022-00361-4 http://dx.doi.org/10.1136/postgradmedj-2021-141119 http://dx.doi.org/10.1136/postgradmedj-2021-141119

mschuster91 4y ago
> At least early in the pandemic, US healthcare providers weren't routinely aspirating. ... What? Here in Germany, that's like one of the basic things that people who deal with needles on anything alive learn.
- taolegal 4y ago
  yea it doesn't happen much at all in the US, tons of normal ppl were hired to inject people and AFAIK that was never really part of instruction
- nradov 4y ago
  I don't know the injection practices in Germany. The WHO and US CDC no longer recommend aspiration prior to intramuscular injection, mainly over pain management concerns. (I'm not claiming this is a good idea, just pointing out the current injection protocol.) https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/admi... In practice there is a wide variance between US healthcare providers depending on where they work and how they were trained. Some aspirate, some don't, some try but use the wrong technique.