Thread: Danger of NOT aspirating needle?

Well if you inject INTO a vein it could kill you, especially if there were air bubbles in there. If you just plow through a vein it isn't really going to effect anything. But you should always aspirate. Always. The danger is staying in the vein and injecting which is why you aspirate. Sometimes you just bleed, I'm sure you'll be OK. If you start feeling sick you need to goto the ER though.

Originally Posted by Life

Well if you inject INTO a vein it could kill you, especially if there were air bubbles in there. If you just plow through a vein it isn't really going to effect anything. But you should always aspirate. Always. The danger is staying in the vein and injecting which is why you aspirate.

+1.. it take 1 sec !! And then you will never ask this dumb question again bro !

It takes a pretty large volume of air or oil to cause any serious problems. More than 3 cc's so don't sweat it. Sometimes the meds will hit your lungs right away if you inject in a vein and it will make you cough and taste BA in your mouth. It has happened to me about 5-6 times over the years.

Taking short-cuts while using AAS it just simple stupid. Take the 1 second and aspirate man, don't be a dipshit.

Some guys who have been using for several years don't even know what aspirating is. You really do need a large amount of air to mess up.


/V

Originally Posted by VictorZ06

Some guys who have been using for several years don't even know what aspirating is. You really do need a large amount of air to mess up.


/V

as that is true...
you still want to aspirate
just incase
why risk it ?

In 23 years I have never once aspirated.

Are you shittin me?

I also do not aspirate, another old school myth.

I did so many years back...but no longer. The EBP and ACIP also do not recommend aspiration. Some argue not to aspirate vaccines, but to aspirate other drugs. Jet injections are not aspirated.

According to the CDC they state-

"Aspiration - Aspiration is the process of pulling back on the plunger of the syringe prior to injection to ensure that the medication is not injected into a blood vessel. Although this practice is advocated by some experts, the procedure is not required because no large blood vessels exist at the recommended injection sites."

"Aspiration is not indicated for SC injections of vaccines, immunizations and insulin."

"Aspiration is not indicated for IM injections of vaccines and immunizations."

STTI International Nursing Research Congress Vancouver, July 2009


Organizations which state aspiration is not necessary for immunizations & vaccines are:


Centers for Disease Control (CDC)
Advisory Committee on Immunization Practices (ACIP)
Department of Health Services (DHS)
American Academy of Family Physicians (AAFP)
U.K. Department of Health (DoH)
World Health Organization (WHO)


References:

1. Atkinson, W. L., Pickering, L. K., Schwartz, B., Weniger, B. G., Iskander, J. K., & Watson, J. C. (2002). General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP). Morbidity and Mortality Weekly Report, 51, RR2. 1-33.

2. Chiodini, J. (2001). Best practice in vaccine administration. Nursing Standard, 16(7), 35-38.

3. Diggle, L. (2007). Injection technique for immunization. Practice Nurse, 33(1), 34-37.

4. Gammel, J. A. (1927). Arterial embolism: an unusual complication following the intramuscular administration of bismuth. Journal of the American Medical Association, 88, 998-1000.

5. Ipp, M., Taddio, A., Sam, J., Goldbach, M., & Parkin, P. C. (2007). Vaccine related pain: randomized controlled trial of two injection technique Archives of Disease in Childhood,92,1105-1108.

6. Li, J.T., Lockey, R. F., Bernstein, I. L., Portnoy, J. M., & Nicklas, R. A. (2003). Allergen immunotherapy: A practice parameter. Annuals of Allergy, Asthma, & Immunology, 1-40.

7. Livermore, P. (2003). Teaching home administration of sub-cutaneous methotrexate. Paediatric Nursing, 15(3), 28-32.

8. Middleton, D. B., Zimmerman, R. K., & Mitchell, K. B. (2003). Vaccine schedules and procedures, 2003. The Journal of Family Practice, 52(1), S36-S46.

9. Nicoli, L. H., & Hesby, A. (2002). Intramuscular injection: An integrative research review and guidelines for evidence-based practice. Applied Nursing Research,16(2), 149-162.

10. Ozel, A., Yavuz, H., & Erkul, I. (1995). Gangrene after penicillin injection: A case report. The Turkish Journal of Pediatrics, 37(1), 567-71.

11. Peragallo-Dittko, V. (1995). Aspiration of the subcutaneous insulin injection: Clinical evaluation of needle size and amount of subcutaneous fat. The Diabetes Educator, 21(4), 291-296.

12. Roger, M. A., & King, L. (2000). Drawing up and administering intramuscular injections: A review of the literature. Journal of Advanced Nursing, 31(3), 574-582.

13. Talbert, J. L., Haslam, R. H. & Haller, J. A. (1967). Gangrene of the foot following intramuscular injection in the lateral thigh: A case report with recommendations for prevention. The Journal of Pediatrics, 70(1), 110-114.

14. Workman, B. (1999). Safe injection techniques. Nursing Standard, 13 (39), 47-53.

15. World Health Organization (2004). Immunization in Practice, Module 6: Holding an immunization session. Immunization in Practice: A practical resource guide for health workers –2004 update,1-29.

16. Center for Nursing History at Misericordia University: http://www.misericordia.edu17. Levels of Evidence, Canadian Medical Association & Centre for Evidence-Based Medicine (2001). Available at:http://www.cebm.net/index18. Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Philadelphia: Lippincott, Williams & Wilkins.



/V

Great post VictorZ06

Originally Posted by heavyiron

In 23 years I have never once aspirated.

Around the same amount of time, and I've never bothered, either.

Man last week when my Wife gave me my shot. I don't know if we got some into a vein but we always aspirate. I got really light headed, started to dry heave, and sweat heavily. It was also my first time with test 500 but I have never experienced anything like that before. Any ideas?

Dear Db52280, test 500 is way too much concentrate mgs in 1ml. Its will never be FDA approved for 500mg/ml.

best-regards

wp

Originally Posted by VictorZ06

I also do not aspirate, another old school myth.

I did so many years back...but no longer. The EBP and ACIP also do not recommend aspiration. Some argue not to aspirate vaccines, but to aspirate other drugs. Jet injections are not aspirated.

According to the CDC they state-

"Aspiration - Aspiration is the process of pulling back on the plunger of the syringe prior to injection to ensure that the medication is not injected into a blood vessel. Although this practice is advocated by some experts, the procedure is not required because no large blood vessels exist at the recommended injection sites."

"Aspiration is not indicated for SC injections of vaccines, immunizations and insulin."

"Aspiration is not indicated for IM injections of vaccines and immunizations."

STTI International Nursing Research Congress Vancouver, July 2009


Organizations which state aspiration is not necessary for immunizations & vaccines are:


Centers for Disease Control (CDC)
Advisory Committee on Immunization Practices (ACIP)
Department of Health Services (DHS)
American Academy of Family Physicians (AAFP)
U.K. Department of Health (DoH)
World Health Organization (WHO)


References:

1. Atkinson, W. L., Pickering, L. K., Schwartz, B., Weniger, B. G., Iskander, J. K., & Watson, J. C. (2002). General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP). Morbidity and Mortality Weekly Report, 51, RR2. 1-33.

2. Chiodini, J. (2001). Best practice in vaccine administration. Nursing Standard, 16(7), 35-38.

3. Diggle, L. (2007). Injection technique for immunization. Practice Nurse, 33(1), 34-37.

4. Gammel, J. A. (1927). Arterial embolism: an unusual complication following the intramuscular administration of bismuth. Journal of the American Medical Association, 88, 998-1000.

5. Ipp, M., Taddio, A., Sam, J., Goldbach, M., & Parkin, P. C. (2007). Vaccine related pain: randomized controlled trial of two injection technique Archives of Disease in Childhood,92,1105-1108.

6. Li, J.T., Lockey, R. F., Bernstein, I. L., Portnoy, J. M., & Nicklas, R. A. (2003). Allergen immunotherapy: A practice parameter. Annuals of Allergy, Asthma, & Immunology, 1-40.

7. Livermore, P. (2003). Teaching home administration of sub-cutaneous methotrexate. Paediatric Nursing, 15(3), 28-32.

8. Middleton, D. B., Zimmerman, R. K., & Mitchell, K. B. (2003). Vaccine schedules and procedures, 2003. The Journal of Family Practice, 52(1), S36-S46.

9. Nicoli, L. H., & Hesby, A. (2002). Intramuscular injection: An integrative research review and guidelines for evidence-based practice. Applied Nursing Research,16(2), 149-162.

10. Ozel, A., Yavuz, H., & Erkul, I. (1995). Gangrene after penicillin injection: A case report. The Turkish Journal of Pediatrics, 37(1), 567-71.

11. Peragallo-Dittko, V. (1995). Aspiration of the subcutaneous insulin injection: Clinical evaluation of needle size and amount of subcutaneous fat. The Diabetes Educator, 21(4), 291-296.

12. Roger, M. A., & King, L. (2000). Drawing up and administering intramuscular injections: A review of the literature. Journal of Advanced Nursing, 31(3), 574-582.

13. Talbert, J. L., Haslam, R. H. & Haller, J. A. (1967). Gangrene of the foot following intramuscular injection in the lateral thigh: A case report with recommendations for prevention. The Journal of Pediatrics, 70(1), 110-114.

14. Workman, B. (1999). Safe injection techniques. Nursing Standard, 13 (39), 47-53.

15. World Health Organization (2004). Immunization in Practice, Module 6: Holding an immunization session. Immunization in Practice: A practical resource guide for health workers –2004 update,1-29.

16. Center for Nursing History at Misericordia University: http://www.misericordia.edu17. Levels of Evidence, Canadian Medical Association & Centre for Evidence-Based Medicine (2001). Available at:http://www.cebm.net/index18. Melnyk, B. M., & Fineout-Overholt, E. (2005). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Philadelphia: Lippincott, Williams & Wilkins.



/V

I learn something new everyday... Good post.

My first shot i forgot to aspirate.
Hit a vein.

After i shot i felt extremely light headed,
Started coughing uncontrollably.
Felt sick.
Horrible taste in my mouth and was very short of breath during the day.
Really bad sweating due to freaking the fuck out.

It passed after a few hours but wasn't the best start to my day.

To aspirate all you need to do is flick the top of the plunger.

some say its no recommended but gives me a little piece of mind when injecting.

Good post V. I guess I won't aspirate anymore. It was a pain in the ass anyways. No pun intended.

Aspirating with one hand is next to impossible anyway. The needle moves around so much that you might be near a vein one moment and then the needle moves closer or further away. By the time you inject the placement of the needle may not be where it was when you originally pulled back on the plunger. By all means aspirate if you like. I just never have.

I always aspirate only because thats how I was taught.. and i'm pretty good as using one hand to do it when I shoot something warm inside my ass :-)

Anyhow, one time i Injected and I become VERY short of breath and coughed for the next couple days only moments after injecting.. kinda scared the shit out of me, but I was fine.

i have injected 50+ times withOUT aspirating once. If you inject air into vein, yes, you could possibly die. But injecting gear into a vein/artery on accident will not kill you. The gear is entered so quick that it reaches your lungs in about a minutes, and might give your shortness of breath...that is about it. If you knick a vein/artery, you most likely will have a fat lump you can feel, and it will hurt like a B!T$H for almost a week.

And usually the extremely tiny amount of air usually won't even be injected in you. It will push out the remainder or the gear through the needle, leaving your needle with air in it, not your veins.

Is injecting into the vein a waste then?

I've heard stories where some guys try to aspirate, and while doing so the needle would break apart from the syringe because of all the movement of trying to get both hands behind a glute....not to mention the movement causing more scar tissue.



/V

^^^^^^Thats exactly why I dont aspirate. My hands shake so much, I think the needle might break.

I aspirate. If there was an infection deep the muscle that I couldn't see visibly, aspirating would be a slight biopsy. Not to mention if you do inject into a vein even a small amount, it can cause inflammation and blood clotting. Although your chances are slim in the IM places we inject. I do it just because I'm like that.

error

Originally Posted by Life

Well if you inject INTO a vein it could kill you, especially if there were air bubbles in there.

I was a medic in the army and I worked in a hospital, a few air bubbles, even a full cc of air injected into a vein would not kill you.

Originally Posted by Prince

I was a medic in the army and I worked in a hospital, a few air bubbles, even a full cc of air injected into a vein would not kill you.

Really? Interesting, I've always heard lots of warnings about embolism and that the amount varies from person to person and can even be effected by the position your body is in. It goes through the right side of the heart and then out to the lungs but can get trapped between the heart and lungs. *shrug*

I don't aspirate and I've haven't seen Doctors do it on Im shots.

Originally Posted by dave 236

I don't aspirate and I've haven't seen Doctors do it on Im shots.

Good point. Never seen a nurse or doc aspirate either.