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At Manipal Hospitals in Bhubaneswar, Odisha, we specialise in providing expert care for paediatric and child health, including the administration of intramuscular (IM) injections. Intramuscular injections involve delivering medications directly into the muscle, allowing for rapid absorption and effective treatment. Common injection sites include the deltoid muscle in younger children and adolescents and the vastus lateralis muscle in newborns and early childhood. The choice of muscle depends on the patient's age, size, and the medication required.
Our skilled paediatric team ensures that each injection is performed with precision and care, using proper techniques to minimise discomfort and maximise medication efficacy. Nebulisation Service in bhubaneswar also offers reassuring support to both the child and their caregiver, recognising that comfort and clear communication are crucial for a positive experience. By adhering to the best practices, we aim to prevent complications and ensure effective treatment for all our young patients.
The age, size, medication volume and type, and preference or skill level of the healthcare practitioner are some important factors that dictate the choice of injection site.
Children are often given intramuscular shots when fast absorption of medicines is required or when large volumes of drugs need to be administered.
Common medications administered via IM injection in children include:
Antibiotics (e.g., ceftriaxone)
Steroids (e.g., dexamethasone)
Certain vitamins (e.g., vitamin K)
IM injections in children are usually given by healthcare professionals. However, parents or caregivers can be trained to administer them at home safely in certain situations, but it should strictly be done under a doctor’s supervision.
You must get thorough training from a healthcare professional to make sure that you use proper techniques when administering IMs. This includes understanding how to correctly insert a needle, aspirate, administer an injection, and care after an injection has been given. Always remember to adhere to the advice of your healthcare provider.
To make injections less painful for your child:
Apply topical anaesthetic agents like EMLA, lidocaine, and tetracaine before giving the injection.
Make a sugar mixture by mixing sugar and water, and apply it to your baby's tongue a few minutes before the injection.
Distraction can be done with colourful mobiles, mirrors, blowing bubbles, reading, playing with musical toys, or virtual reality glasses.
Encourage your child to imagine a pleasant experience using all their senses and suggest other sensations.
For babies and toddlers, straddle your baby on your lap, facing towards your chest, or swaddle them in a blanket.
Breastfeeding can also make the injection less painful when someone is available to give it. Allow your child to suck on a pacifier during the injection, which can be soothing and less painful.
Seek medical help when necessary.
For newborns and babies, the optimal IM site is the vastus lateralis muscle, which is located on the anterolateral portion of the thigh. In newborns, up to 1 ml, up to 3 ml, and up to 5 ml can be injected into this location. For the management of anaphylaxis in all age groups, this is the recommended site.
It’s vital to provide reassurance and support when your child is anxious or afraid. You can talk with him or her through the procedure gently, offer distraction techniques like meditation, deep breathing, or counting for him to engage in and you may also consider numbing creams or patches in some cases.
In case your kid encounters agonising pain, swelling, or redness, among other adverse effects following an intramuscular injection, it is advisable to seek medical attention immediately so that a healthcare professional can evaluate such a condition further.
You can provide comfort to your child by offering a gentle massage or applying a warm compress to the injection site. If recommended, over-the-counter pain relievers such as acetaminophen or ibuprofen may also help alleviate discomfort.
Stop the injection immediately and consult with a healthcare professional if there are any difficulties in administering it or if you think that it was not done correctly. Injections must not be repeated without clear instructions.
Generally, long-term effects from intramuscular injections among children are uncommon, especially when they are administered properly by trained healthcare providers. Bleeding, infection, and injury to nearby structures can occur from IM injections in children. Therefore, healthcare providers must take proper measures to reduce such risks.
However, after some time, frequent injections may result in scarring as well as tissue damage within the area. To prevent these risks, one must follow the guidelines for injection schedules and rotate sites.
Do not hesitate to ask your paediatrician if there is anything else you want to understand about intramuscular injections for your child. They will guide you accordingly and handle any other concerns you may have.
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