The Ventrogluteal Injection Site

Updated on April 20, 2017
jagged81 profile image

Levi is an orthopedic nurse. In his free time, he loves to write, fix computers, and travel.

Advantages and Disadvantages for the Ventrogluteal Injection

The ventrogluteal injection site is the preferred injection site for adults and children over 7 months. The muscle that is injected into at this site is the gluteus medius. The advantage to this site is that it is reasonably free of major nerves and vascular branches. The bony landmarks, such as the greater trochanter and the iliac spine, make the site easy to locate. The muscle mass at this site is adequate enough for deep IM or Z-track injections. The last advantage of this intramuscular (IM) site is it can be administered from numerous patient positions, such as the supine, lateral (left or right), and on the abdomen.

Don't forget to tell the patient to relax the muscles prior to injection, as this can reduce the chances of bruising and more importantly, reduce pain or discomfort.

The only major disadvantage of this injection site is that if hypersensitivity were to take place, a tourniquet would not be possible to apply to delay absorption. Of course the other disadvantage to this site would be a healthcare professional's unfamiliarity with the site.

Diagram showing how to locate the Ventrogluteal injection site
Diagram showing how to locate the Ventrogluteal injection site

Considerations for the ventrogluteal injection (to the patient a butt injection?)

First things first. To a patient this location could be considered a private area as the pants need to come down a bit to be able to locate the IM injection properly. The procedure should be explained so that the patient understands what is going to happen so they are not startled or if an alternate location needs to be considered. Once past that point remember that the volume of drug that can go the ventrogluteal route is 1.0 - 4.0 ml for well developed muscles, but a child under 2 years old should receive no more than 1 ml in the ventrogluteal site. The gauge of needle can be 21-25, with a length of 1.5 inches for the average sized adult; the needle would be much shorter for skinny individuals and children. Larger patients may require a needle that is larger than 1.5 inches to make sure the needle makes it through the adipose tissue (fat). Be sure that the angle of all ventrogluteal injections is 90 degrees.

One of the ways to find Landmarks for a Ventrogluteal injection

How NOT to give a ventrogluteal injection

Locating the site for a ventrogluteal IM injection

First you must determine which hand you will use to locate the IM injection site by the position the patient is in, for example if the patient is on their right side you would use your right hand to find the landmarks. So using the example, a person is lying on their right side so you would take your right hand and place it on their greater trochanter, depending on the length of your fingers you would then place your index finger on the anterior superior iliac spine or point your finger in that direction with the thumb pointed at the groin, all other fingers should be pointed at the patient's head. Once your hand is in position move your middle finger back along the iliac crest towards the buttock as far as you are able to go. This forms the triangle with the index and middle finger and the center of that triangle is the injection site for a ventrogluteal injection.

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    • profile image

      steve R.Ph 

      6 years ago

      So can i assume Ventrogluteal is at about the same level as a straight glute hit just to the side a bit at a different angle

    • profile image

      Roxy LPN 

      6 years ago

      I couldn't imagine 5 ml IM going into the deltoid. Physicians will put 5 ml into a shoulder joint injection (ex: 1.5 ml methylprednisone 40 mg/ml mixed with 3.5 ml of xylocaine 2% 20 mg/ml injection). This is NOT an IM injection and can only be given by physician.

      Deltoids can take up to 3 ml, but usually most IM injections that go in an adult deltoid are 1 ml (ex: Twinrix 1 ml, Gardasil 1 ml, Vitamin B12 1 ml, etc...)

      I have not see anyone use the upper, outer quadrant location method since the 90's.

    • profile image

      zakir afghan 

      6 years ago

      how to indicate dorsogluteal injection area?

    • jagged81 profile imageAUTHOR

      Levi 

      6 years ago from New Mexico

      @ jcrottyrn As the title above the video states "How NOT NOT NOT NOT to give a ventrogluteal injection!!!"

    • profile image

      jcrottyrn 

      6 years ago

      The dorsogluteal site (shown in this video, upper outer quad of buttock) is no longer recommended for IM shots. Ventrogluteal is safer. Lots of other info in this video is good though.

    • profile image

      Susan 

      6 years ago

      Who ever put 5mL into your your deltoid is a really BAD nurse! The deltoid is only supposed to get 1mL or less!

    • profile image

      annemct 

      7 years ago

      While in hospital with septicemia 6 mths ago. During getting an IM injection in my right buttock I experienced extremely severe pain, the nurse was panicking, my blood pressure fell and I was confined to bed for 24 hrs. 6 mth later I can still pinpoint where the injection was although the hard lump had gone. I am also having burning, needles pain along the top of my buttock going into the centre and 'electic shock' sensation in one patch on my lower right leg??These are getting worse. I don't have any pain dowm my leg. Initially my GP thought the needle had touched my sciatic nerve

    • profile image

      so sorry 

      7 years ago

      gave a pt 2mls of solu medrol in the deltoid.what are the side effects?

    • jagged81 profile imageAUTHOR

      Levi 

      7 years ago from New Mexico

      First of all why did you? Second, you should have divided the shot into two and went with both deltoids or both ventroglutel sites. Third, considering you're still alive, your only major concern would be major tissue/muscle damage. Thanks

    • profile image

      woahbaby 

      7 years ago

      hi, i recently got an IM injection of 5mL in the deltoid, are there any risks i should be aware of? and where would be the best place to do a 5mL IM injection?

    • profile image

      neih 

      7 years ago

      thanks,this is clear and straight to the point.

    • jagged81 profile imageAUTHOR

      Levi 

      8 years ago from New Mexico

      Thanks, i fixed it

    • profile image

      Kathy Dickens 

      8 years ago

      We couldn't hear the video,,,no audio.

    • profile image

      8 years ago

      Thank you, I have been looking for this info everywhere!!

    • profile image

      mensur 

      8 years ago

      thanks not bad

    • profile image

      muna sax 

      8 years ago

      Thanks, this information help me a lot.

    • jagged81 profile imageAUTHOR

      Levi 

      8 years ago from New Mexico

      You are welcome, it has been one of my most visited hubs

    • profile image

      Heidi L. 

      8 years ago

      Thanks, good information

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