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Devices · Syringes & needles · continued

Fixed versus detachable needles: the trade-offs posts 91–120

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

EF
e.ferreiraTL3Regular4 Jan 2025#91
hana.sato, post #52: Picking up post #49: that is the part I would want checked first. Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose. Go to post

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

2 likes in reply to #52 19mo
K
KAnderssonTL3Regular5 Jan 2025 · edited#92
c.amankwah, post #32: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

0 likes in reply to #32 19mo
EN
e.ndiayeTL2 Moderator5 Jan 2025#93

Worth separating two things that post #89 runs together.

Aspirating before injection: for subcutaneous injection, aspirating (pulling back on the plunger to check for blood) is not necessary and is sometimes discouraged because it is associated with more discomfort. Subcutaneous injection without aspiration is standard practice.

29 likes 19mo
DS
d.szymanskiTL3Wiki editor6 Jan 2025#94

post #93 is right about the mechanism and I think understates the practical bit.

Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error.

14 likes 19mo
MM
m.mwangiTL2 Moderator6 Jan 2025#95
e.roos, post #64: On post #60 — agreed on the reasoning, with one qualification. Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose. Go to post

Sharps disposal: needles and syringes should be disposed in a sharps container (a rigid, puncture-resistant container). Do not put them in regular trash. Many pharmacies accept filled sharps containers.

5 likes in reply to #64 19mo
GT
g.tanakaTL3Regular7 Jan 2025#96

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

0 likes 19mo
IG
i.guerreroTL27 Jan 2025#97
TD
titration_diaryTL3Regular8 Jan 2025#98

Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose.

20 likes 19mo
CS
c.serranoTL2 Moderator8 Jan 2025#99
y.adebayo, post #36: Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose. Go to post

I read post #97 twice before replying, because I had assumed the opposite.

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

9 likes in reply to #36 19mo
TN
t.nardoneTL3Regular8 Jan 2025#100

This follows post #97 rather than contradicting it.

Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity.

2 likes 19mo
OC
o.cousineauTL3Regular9 Jan 2025#101

Fixed versus detachable needles: insulin syringes usually have fixed needles (no dead volume loss to the hub). Luer-lock syringes use detachable needles (more dead volume). Fixed needles are preferred for small doses.

29 likes 19mo
KH
k.haddadTL2 Moderator9 Jan 2025#102

Insulin syringe graduations: U-100 syringes are marked in units where 100 units = 1 mL. Always confirm your syringe is U-100. Confusion between insulin units and milligrams is the most common syringe error.

14 likes 19mo
MI
m.ivaturiTL2 Moderator10 Jan 2025#103
n.norgaard, post #46: On post #42 — agreed on the reasoning, with one qualification. Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error. Go to post

I read post #101 twice before replying, because I had assumed the opposite.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

5 likes in reply to #46 19mo
AS
a.silvaTL2 Moderator10 Jan 2025#104

This follows post #101 rather than contradicting it.

Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose.

0 likes 19mo
EC
excursion_checkTL3Regular11 Jan 2025#105

On post #101 — agreed on the reasoning, with one qualification.

Sharps disposal: needles and syringes should be disposed in a sharps container (a rigid, puncture-resistant container). Do not put them in regular trash. Many pharmacies accept filled sharps containers.

0 likes 19mo
SV
s.vanheckeTL2 Moderator11 Jan 2025#106
n.laurent, post #81: Aspirating before injection: for subcutaneous injection, aspirating (pulling back on the plunger to check for blood) is not necessary and is sometimes discouraged because it is associated with more discomfort. Subcutaneous injection without aspiration is standard practice. Go to post

Aspirating before injection: for subcutaneous injection, aspirating (pulling back on the plunger to check for blood) is not necessary and is sometimes discouraged because it is associated with more discomfort. Subcutaneous injection without aspiration is standard practice.

20 likes in reply to #81 19mo
CN
c.niemelTL3Regular12 Jan 2025 · edited#107
m.strand_rph, post #58: Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity. Go to post

Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error.

9 likes in reply to #58 18mo
RM
r.mwangiTL2 Moderator12 Jan 2025#108

Picking up post #105: that is the part I would want checked first.

Fixed versus detachable needles: insulin syringes usually have fixed needles (no dead volume loss to the hub). Luer-lock syringes use detachable needles (more dead volume). Fixed needles are preferred for small doses.

2 likes 18mo
LC
l.chevalierTL3Regular13 Jan 2025#109

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

15 likes 18mo
MA
m.adebayoTL2 Moderator13 Jan 2025#110

post #109 is right about the mechanism and I think understates the practical bit.

Dead volume: residual liquid in the hub and needle after withdrawal. Typical residual is 0.01 to 0.02 mL for an insulin syringe with a fixed needle. Accounting for it matters if precision matters.

6 likes 18mo
AK
a.kwiatkowskiTL2Member14 Jan 2025#111

Insulin syringe graduations: U-100 syringes are marked in units where 100 units = 1 mL. Always confirm your syringe is U-100. Confusion between insulin units and milligrams is the most common syringe error.

0 likes 18mo
TV
t.vargaTL2 Moderator14 Jan 2025#112
m.ivaturi, post #103: I read post #101 twice before replying, because I had assumed the opposite. Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing. The correction was fair and I had been repeating something I had not checked carefully enough. Go to post

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

1 like in reply to #103 18mo
I
IRenaudinTL2Member15 Jan 2025#113
p.krastev, post #17: Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error. Go to post

post #112 is right about the mechanism and I think understates the practical bit.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

6 likes in reply to #17 18mo
NK
n.kaufmannTL2 Moderator15 Jan 2025#114

Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity.

16 likes 18mo
CE
crossover_entryTL3Regular15 Jan 2025#115

Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose.

0 likes 18mo
LL
l.lundgrenTL2 Moderator16 Jan 2025#116

Dead volume: residual liquid in the hub and needle after withdrawal. Typical residual is 0.01 to 0.02 mL for an insulin syringe with a fixed needle. Accounting for it matters if precision matters.

3 likes 18mo
N
NardoneTL2Member16 Jan 2025 · edited#117
s.karlsen_rph, post #29: This follows post #26 rather than contradicting it. Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less. Go to post

post #116 answers the question as asked. The question underneath it is different.

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

10 likes in reply to #29 18mo
LV
l.vermeulenTL2 Moderator17 Jan 2025#118

On post #114 — agreed on the reasoning, with one qualification.

Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity.

22 likes 18mo
GP
g.pemberton_ukTL317 Jan 2025#119
NB
n.boatengTL2 Moderator18 Jan 2025#120
isotonic_sheet, post #16: Picking up post #13: that is the part I would want checked first. Aspirating before injection: for subcutaneous injection, aspirating (pulling back on the plunger to check for blood) is not necessary and is sometimes discouraged because it is associated with more discomfort. Subcutaneous injection without aspiration is standard practice. Go to post

Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error.

0 likes in reply to #16 18mo