Aspirating

[ManInBlack]

i have yet to do an injection on myself, only had 2 done anyways, but my next one i will be doing myself. I am planning on pinning the left delt right in the middle of it.....seems to me that aspirating would be difficult with one hand like i feel i would be moving the needle around to much or even not be able to move the plunger back with only one hand....how hard is it guys and do you have any tips?

 

[VictorZ06]

Yeah, don't aspirate.



/V

 

[ManInBlack]

really? whats all this ive read about you need to aspirate so that you know if you are in a vein or whatever because you will see the blood come through

 

[stfuandliftbtch]

just dont do it...ive injected over 100 times and have NEVER aspirated

 

[ManInBlack]

shit, good deal then. fuck aspirating....thanks for the replies.

 

[gorilla21]

i disagree with you guys , i feel that you should always aspirate its easy to do, you know at the top of barrel (those little plastic edges) well instead of griping from the side of the syringe grab it over the top of the plunger and grip your fingers on those edges so you can just shift your fingers back and aspirate. quite the explaining.. and yes make sure you aspirate. why take the chance. cmon guys we know better

 

[VictorZ06]

I just posted this the other day about aspirating.....


Aspirating, that's old school. They don't even teach RNs to aspirate any more.

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:


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

 

[gorilla21]

see bro the cdc is talking about vaccines and immunizations, we are talking about injecting anabolic steroids which it is totally necessary to aspirate.....see the difference

 

[Crank]

hitting a vein can cause anaphylactic shock (happened to my bro)

you never know. its meant to be slowly absorbed in your muscle....

and if shooting tren than you best make sure its in muscle not a vein

 

[Crank]

vaccines dont matter if they hit a vein.

they are not in OIL. they are in a BA solution. (according to my brother inlaw who is a nurse lmao)


it takes a damn second. i feel at first you should. after a while you are more confident of the injection sites and such. newbies should get used to aspirating imo

 

[Roughneck_91]

I always aspirate... why not?

For shoulder injections:

-Hold syringe with the needle down (as if stabbing someone)
-Insert into muscle
-You will notice your thumb is in the perfect position to lift the plunger up slightly

It shouldn't take much because your blood pressure will shoot blood into the syringe at the slightest draw back...

Also, these organizations are speaking in the context of:

a) non-oil based vaccinations (as others have pointed out)
b) mass, almost assembly-line-like, administration
c) often to third world citizens in humanitarian efforts

 

[TGB1987]

Victor and I had this debate the other day. We kind of agreed to disagree I guess. Victor is very knowledgable and up to date on his info he presents though. He is right about the CDC changing this recently but my sister just graduated from Penn State to be an RN and they taught her to aspirate. I think it is needed especially if you are new to AAS. It only takes about 5 sec. I know I don't want to hit any vein big or small and my legs are full of veins so I am careful to aspirate. Everyone has their own opinions though.

 

[Sinner39]

Whats the procedure when you aspirate and there is blood?

 

[TGB1987]

Pull out and you are actually supposed to dispose of needle and syringe all together but I would just pull it out and pick another spot to inject. It is rare for there to be blood but it can happen

 

[supperfly1977]

what will happen if you inject in to the vain? i heard it just burns like hell..

 

[supperfly1977]

my wife is an rn she aspirates thats how she was tought and she only been out of school for 2 years now. i do half the time i forget most of the time lol

 

[AmM]

Using an inch or inch and a half needle there is no way you can stay in a vein. You might go through a vein but there is no way that the needle would be in it if your burying it into the muscle.

 

[MDR]

No need to aspirate. Over 20 years, and I've never aspirated once. Victor is 100% right here.

 

[FlawlessFinish]

When you try to aspirate the hot blood should draw into the needle fairly quickly, and you should know instantly just by pulling back if its blood fast or not.

I like aspirate, just because if its sore as shit in a few days you know it didn't go vein, and should pass on its own. Oil in the bloodstream is very bad, don't want that crap going through your brain. Working out with one side of your body because your all stroked out wouldn't be too fun.

 

[malfeasance]

Whats the procedure when you aspirate and there is blood?

 

[malfeasance]

hitting a vein can cause anaphylactic shock (happened to my bro)

Please give us a short narrative. I cannot believe that you had the most interesting post information on the entire thread, but you just left us hanging . . .

 

[SloppyJ]

Why not?


I always do.

 

[Crank]

Please give us a short narrative. I cannot believe that you had the most interesting post information on the entire thread, but you just left us hanging . . .

not sure how it happened but he had been juicing for years. started me juicing.

was showing me how in his quad. and shortly after collapsed on floor. i had to bring him to hospital. they said it was anaphylactic shock. his body had a reaction to the solvents in the oil. maybe the bb or ba or the oil itself. and he always used that gear and continued to afterwards.


besides, its safe practice. isnt this forum about safety and correct use of gear??

99 percent of the time there is NO problems. but who wants to be the 1%?


it takes half a second.

do it

if you have been juicing for years than you have a fairly good idea where to hit. but for newbies it should be recommended

 

[rliss1]

i always aspirate. in fact i caught a vein the other day. Just pulled out, changed the needle and blasted it in a different spot. who really wants to be injecting aas into their veins?

RLiss

www.HARDBODY1.com​

 

[muscle37]

Im an RN...have been for many years with experience in high acuity area. Im now in a management position/suprevisor in Transplant so I know my shit when it comes to these types of things. So...yes in any type of medical schooling they teach to aspirate for IM inj only not necessary for sub-q. With that being said RN's/MD's do not aspirate. Its just one of those things. I personally do aspirate on myself and have yet to get a blood return. With that being said in this last cycle alone i have gotten the "cough" with two injections thats indicative of hitting a vein and with aspiration there was no blood return. i can tell u from starting lines/iv's on patients on a nightly basis its hard enough for most ppl with training to hit a vein when they know where its at much less someone that doesnt; however, I know shit happens. So with all that being said I do think from much experience that aspiration is unecessary but its easy and since if u do happen to hit a vein (although the chances are slim ) u will feel like shit for about 15 min...why not just do it to be on the safe side.

 

[Ravager]

IF you hit a vein does the gear go wasted? Do the Kidneys filter it out?

 

[BigBird]

Yeah, don't aspirate.



/V

I agree 100% w/ Vic. When you're done inadvertantly moving the pin around and fumbling around to aspirate you've created more damage to the muscle tissue. If I've said itonce I've said/written it a thousand times - I've never aspirated. Not even once out of a thousand injections. Good technique and knowing what you're doing and where to pin is what you need. Aspirating is unneccessary. Take that to the bank. But if you choose to aspirate and want to aspirate I would never say not to. I only give my opinion of aspirating.

 

[badpuppy]

i have yet to do an injection on myself, only had 2 done anyways, but my next one i will be doing myself. I am planning on pinning the left delt right in the middle of it.....seems to me that aspirating would be difficult with one hand like i feel i would be moving the needle around to much or even not be able to move the plunger back with only one hand....how hard is it guys and do you have any tips?

put it in and it will stay so u can use both hands.u will see just do it i have every confidence u will get it