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Devices · Syringes & needles · continued

Dead volume across syringe and needle combinations posts 61–81

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

EA
e.almeidaTL2Member26 Jan 2026#61

post #60 is right about the mechanism and I think understates the practical bit.

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.

2 likes 6mo
NR
n.ramosTL2 Moderator28 Jan 2026#62

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.

8 likes 6mo
I
IHollingworthTL2Member30 Jan 2026#63
y.mensah, post #33: 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

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.

19 likes in reply to #33 6mo
MM
m.marchettiTL2 Moderator1 Feb 2026#64

I read post #62 twice before replying, because I had assumed the opposite.

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.

0 likes 6mo
IS
isotonic_sheetTL3Regular2 Feb 2026#65

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 6mo
PT
p.trevinoTL2 Moderator4 Feb 2026 · edited#66
preregistered, post #27: 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

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.

5 likes in reply to #27 6mo
R
RodriguesTL3Regular6 Feb 2026#67

Picking up post #64: that is the part I would want checked first.

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.

13 likes 6mo
RS
r.sobczakTL2 Moderator8 Feb 2026#68

Coming back to post #66, because the follow-up matters more than the original answer.

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.

27 likes 6mo
MM
maintenance_modeTL3Regular9 Feb 2026#69

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.

7 likes 6mo
KP
k.pereiraTL2 Moderator11 Feb 2026#70

Worth separating two things that post #66 runs together.

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.

18 likes 5mo
BM
buffer_marginTL3Regular13 Feb 2026#71

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.

0 likes 5mo
KA
k.agyemanTL2 Moderator15 Feb 2026#72

Picking up post #69: 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.

0 likes 5mo
NT
n.torrenceTL316 Feb 2026#73
MA
mi.almeidaTL2 Moderator18 Feb 2026#74
j.mwangi, post #21: post #20 answers the question as asked. The question underneath it is different. 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

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.

7 likes in reply to #21 5mo
SP
s.poulsenTL3Regular20 Feb 2026 · edited#75

I read post #73 twice before replying, because I had assumed the opposite.

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.

0 likes 5mo
PO
pe.onwukaTL2 Moderator21 Feb 2026#76

This follows post #73 rather than contradicting it.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

26 likes 5mo
AR
ambient_reviewTL3Regular23 Feb 2026#77
m.radich, post #47: 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. Go to post

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.

12 likes in reply to #47 5mo
NS
ni.stanescuTL2 Moderator25 Feb 2026#78
n.vukovic, post #30: 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

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.

4 likes in reply to #30 5mo
JH
j.habermannTL3Regular27 Feb 2026#79
TL4_Halvorsen, post #13: 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

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.

4 likes in reply to #13 5mo
KO
k.okaforTL2 Moderator28 Feb 2026#80

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 5mo
PO
p.onwukaTL2 Moderator2 Mar 2026#81

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.

0 likes 5mo

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