Who still aspirates before injecting?

VictorZ06

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Aspirating is old school! (IMHO...and every other respected health organization)

They don't even teach RNs to aspirate any more. Don't agree? Just ask the CDC, ACIP, DHS, AAFP, DOH, or the WHO. For them to say so, it holds water. I never aspirate, and have been using AAS for almost a dozen years. Even with SQ injections.

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 though. I know many who have been using AAS ED for many many years who have yet to aspirate. Read on...

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."

"Aspiration is not indicated for IM injections."

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.


In my many years of experience, the longer you keep the pin in your body....the more time it has to move and wiggle around. Thus, causing excessive tissue to scar.



/V
 
I woukd akways aspirate when injecting. Then again, when injecting into a muscle if you are in a vein it wont all end up into your blood stream like that unless your actually IVing the stuff (dont be doing that shit).

It doesnt hurt to aspirate and takes 3 seconds but yes I also know of tons of people who dont.
 
If you don't aspirate before injecting you are a fucking idiot. I guarantee if you never aspirated before you will start after you inject a milliliter or two of Trenbolone Acetate into the blood stream.

Aspirate people, you don't want oil in your veins.
 
apparently having a viscous solution like oil entering the lungs can be bad. I will aspirate every time I inject.
 
Have never heard of anyone die from injecting it into a vein though... just massive coughing fits for a few minutes like they cant breathe, which I cant say seems to healthy and is probably doing damage somewhere - tren is the worst for this IIRC.
 
Don't see why you wouldn't aspirate, takes like few seconds max. Why risk it?

That being said, I've never aspirated any blood.
 
If you don't aspirate before injecting you are a fucking idiot.

FUCKING IDIOT??

Listen "Guido", I was the moderator here in the SD section of the board before you even registered here. I'm an administrator and a super mod on many respected boards. I really don't appreciate your tone in language...it's very unprofessional and you make the board look bad with your wise ass remarks and language. I gave up my position as a moderator here because of dumb asses like you. Grow up kid....if you want to keep you mod position, you better clean up you language and your tough guy attitude.

In short, you are saying that the Center for Disease Control, The Advisory Committee on Immunization Practices, The Department of Health Services, The American Academy of Family Physicians, The U.K. Department of Health and The World Health Organization, are all "fuckn idiots"? I guess you must know more than they do...right smart ass? LMFAO!

And yes, I've been using AAS for well over a decade and I have competed as well. There is no way to inject enough oil in the wrong place without knowing that you hit something. And if you do hit something...you will know it RIGHT AWAY and you will stop injecting. Have I got the tren cough before? Sure, a few times. When people aspirate, they leave the pin in their body longer than they are supposed to...and the pin wiggles around while you aspirate...causing more scar tissue.

Oh, and I've been to the doctor many times in my life and NOT ONCE did I ever see him/her or a nurse aspirate. And what about jet injections? How does one go about aspirating in that case?

"Oil in your veins"....yeah, ok.8)8)




/V
 
I've been involved with anabolic compounds since 1981- ish' 3 months on 3 off up until early 2010 and have not been off since (cruise-blast)...Don't know what the maths work out as but that's a lot of needles going in... I too have never aspirated.. I've had Tren cough occasionally, a few painful injections for a couple of days, and some high dosed underground shit that fucking crippled me for days..... plus I've hit the odd vein and just pulled out and started again... Never had a big drama in all those years...
Don't feel like a fucking idiot...!! Just old.... lol
 
Don't feel like a fucking idiot...!! Just old.... lol

Thank you for making your point, brother. Well said.

Oh, and in most cases, those who call people "fuckn idiots" are usually the true fuckn idiots. Especially those who hide behind a keyboard. ;)



/V
 
I had an issue that scarred me bad enough, I thought I was going to die... Found this thread and registered just to comment on the vehement assertion that aspirating is stupid and a complete waste of time.

Been doing AAS cycles for several years, and I never aspirated and never had any issues. I was under the impression it was something you should probably do, but never did myself mostly because injecting yourself in the glutes doesn't really lend itself well to do so. At least I don't have the dexterity to attempt it.

Well yesterday I was injecting 1ml of test into my glute as i have done many times before (with same product, and even same vial I have used before) and by the end of the plunger I felt a strong sensation to cough. I figured I hit a vein, and held back the cough until I had withdrawn syringe. Then I couldn't control it and started coughing up a lung, but worse than that it was like I could not get any air. I was not panicked yet, just figured, damn it oil is in my bloodstream and ride it out. Had blood come out confirming I must have hit a vein, but still just thought it would pass. After about a minute, I was still coughing profusely and the sensation that blood flow to my lungs was blocked became very real and I began to feel like I was suffocating. I tried to calm myself aware that whatever oxygen I could get needed to not be wasted on stress response and laid face down, still coughing and tried to relax my mind and just ride it out. Then I started to black out, but not in a good way, but like I was dying, every fiber in my body hurt and I realized I needed to call an ambulance despite the ramifications of being discovered. But there was no way I could get to my phone. I resigned myself to die tried to think positive thoughts with what cognition I had left. But instead it gradually got better, to the point that I could roll over and sit up (still coughing uncontrollably). I was completely soaked in sweat and felt like I was burning so I made my way to the bathtub and turned it on cold water. I regained my composure gradually and after about 30min was only left with some pressure in my chest and tickle in my lungs. It was the worst thing I ever experienced. The tickle remained for the rest of the day and gradually resolved itself completely.

I was using 1" 25 gauge needle and was in a safe, very well used area for injection site (inside of upper outer quadrant) so I really am unsure what happened. Perhaps I had some other issue (not well hydrated?) that exacerbated the response, but I feel certain I now know what it must like to have a pulmonary embolism right up to the point of actual death.

For anything water based, I agree aspiration is pointless but I think from now on I will only be injecting anything oil based IM in a spot I can aspirate. First time for everything I guess and I don't ever want to repeat that, EVER. It was not just merely unpleasant, but truly scary.
 
Just wait until it happens with Tren :P

I always aspirate personally, as I fucking HATE Tren cough. This morning when injecting my left quad, upon pulling back on the plunger to aspirate, a whole heap of cloudy reddish shit shot into the barrel. I'd say about 0.2ml of whatever this was. It wasn't BLOOD, but definitely had blood in it. Think I might've had a cyst from the last time I pinned there that didn't really show itself through the usual symptoms like swelling and pain etc, so I aspirated and drew up fluids from a sterile infection?
 
I aspirate, because I see no harm in doing so, only takes a half second flick to the plunger not even a pull...
I have noticed though that as my gf is pregnant, she's been getting lots of I'm injections and not once have they aspirated...
 
Just wait until it happens with Tren :P

I always aspirate personally, as I fucking HATE Tren cough. This morning when injecting my left quad, upon pulling back on the plunger to aspirate, a whole heap of cloudy reddish shit shot into the barrel. I'd say about 0.2ml of whatever this was. It wasn't BLOOD, but definitely had blood in it. Think I might've had a cyst from the last time I pinned there that didn't really show itself through the usual symptoms like swelling and pain etc, so I aspirated and drew up fluids from a sterile infection?


Sounds like you injected in the exact same spot you did last time, and not all the oil had been absorbed by the muscle yet.
 
I aspirate. Well my girl aspirates for me. Only takes a second for safety. When I switch to pinning delts there's a lot more veins there so I want to be cautious.
 
Sounds like you injected in the exact same spot you did last time, and not all the oil had been absorbed by the muscle yet.

Yeah likely, though it's never happened previously and I pin the same site every 6 days. Oh well.
 
Where do you guys prefer pinning? Forgetting about how many mls, quads delts or glutes? I prefer delts any day for anything under 1ml I never do quads anymore too many nerves, I started on quads and refused to do anywhere else especially delts, though did my first delt pin a month or 2 ago and it was a breeze so easy.
 
Where do you guys prefer pinning? Forgetting about how many mls, quads delts or glutes? I prefer delts any day for anything under 1ml I never do quads anymore too many nerves, I started on quads and refused to do anywhere else especially delts, though did my first delt pin a month or 2 ago and it was a breeze so easy.

I've done a LOT of injections clearly and I've only ever injected right glute and never aspirated either, never had painful PIP, maybe slight discomfort once or twice but that's it,

But I'm jaggin Mon-Wed-Fri now so I've been on spotinjections.com and gna need to start rotating properly.

My next muscle to take the plunge will definitely be delts

My triceps are getting bigger and more ripped so they may be next after that so that I can see what I'm doing properly.
 
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