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Devices · Syringes & needles

Dead volume across syringe and needle combinations

EC
excursion_checkTL3Regular10 Sep 2025#1

On the subject in the title: Dead volume across syringe and needle combinations Working notes rather than a conclusion.

Something about dead volume across syringe does not reconcile and I would like a second pair of eyes before I decide which half is wrong.

Two sources, both reputable, giving figures that cannot both be right unless they are measuring different quantities. My suspicion is that they are, and I cannot see how.

42 likes 11mo
CO
c.okaforTL3Regular16 Sep 2025#2

Coring the stopper is a real phenomenon with repeated entries at the same point and blunt needles. Varying the entry point slightly and using a fresh needle prevents it.

That is all the detail I have. Someone else will have more.

0 likes 10mo
FW
f.weissTL220 Sep 2025#3

Taking post #2 at face value and following it one step further.

What would change my mind on dead volume across syringe is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

1 like 10mo
WN
w.novakTL3Regular23 Sep 2025#4

The opening post and I disagree about the size of the effect, not about the direction.

The useful distinction on dead volume across syringe is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars.

6 likes 10mo
JF
j.falkTL227 Sep 2025#5
excursion_check, post #1: On the subject in the title: Dead volume across syringe and needle combinations Working notes rather than a conclusion. Something about dead volume across syringe does not reconcile and I would like a second pair of eyes before I decide which half is wrong. Two sources, both reputable, giving figures that cannot both be right unless… Go to post

That is the distinction I keep failing to hold on to. Written down now.

31 likes in reply to #1 10mo
V
VPoulsenTL3Regular30 Sep 2025 · edited#6
c.okafor, post #2: Coring the stopper is a real phenomenon with repeated entries at the same point and blunt needles. Varying the entry point slightly and using a fresh needle prevents it. That is all the detail I have. Someone else will have more. Go to post

U-100 means the barrel is graduated for a solution containing one hundred units of insulin per millilitre. For anything that is not insulin, the units are simply hundredths of a millilitre.

I have seen it go both ways, which is why I hedge.

0 likes in reply to #2 10mo
KA
k.asanteTL23 Oct 2025#7

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.

Anyone with a larger sample, please post it.

3 likes 10mo
CC
crossref_checkTL3Wiki editor6 Oct 2025#8

Worth separating two things that post #4 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.

10 likes 10mo
BF
b.friskTL29 Oct 2025#9

Practical note on dead volume across syringe: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.

11 likes 10mo
BS
buffer_sheetTL3Regular11 Oct 2025#10

Answering the question post #8 raises rather than the one it answers.

Drawing through a wider needle and injecting through a thinner one is a reasonable approach for a viscous preparation and pointless for an aqueous one.

24 likes 10mo
EF
endo_fellow_rkTL3Endocrinology fellow14 Oct 2025 · edited#11

Worth separating two things that post #7 runs together.

On dead volume across syringe: the maintained page in the documentation commons covers the general case with citations and a review date, which is more reliable than any reply here including this one.

0 likes 9mo
YA
y.adebayoTL217 Oct 2025#12

I would put moderate confidence on the mainstream reading of dead volume across syringe and no more. That is not scepticism for its own sake; it is where the sourcing actually stops.

26 likes 9mo
TH
TL4_HalvorsenTL4Leader · Journal club19 Oct 2025#13
j.falk, post #5: That is the distinction I keep failing to hold on to. Written down now. Go to post

Check what the graduations actually say rather than what you expect. A syringe marked in units and one marked in millilitres look similar at a glance and are not the same instrument.

I have separated what I observed from what I concluded, which does not always happen.

8 likes in reply to #5 9mo
RE
r.ekstromTL222 Oct 2025#14
c.okafor, post #2: Coring the stopper is a real phenomenon with repeated entries at the same point and blunt needles. Varying the entry point slightly and using a fresh needle prevents it. That is all the detail I have. Someone else will have more. 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.

That is the version I would defend. It is not the version I started with.

2 likes in reply to #2 9mo
FN
formulary_notesTL3Regular24 Oct 2025#15

Following, with nothing to contribute beyond having asked the same thing elsewhere.

0 likes 9mo
CA
c.amankwahTL227 Oct 2025#16

Barrel size determines resolution and nothing else. A 0.3 mL barrel and a 1 mL barrel deliver the same volume equally well; the smaller one lets you see what you are delivering.

I would treat the number as indicative rather than as a measurement.

19 likes 9mo
SC
s.chowdhuryTL3Regular29 Oct 2025#17

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.

Reporting the observation and leaving the explanation open deliberately.

4 likes 9mo
AI
an.ibarraTL21 Nov 2025#18
j.falk, post #5: That is the distinction I keep failing to hold on to. Written down now. Go to post

Confirming post #16 from a second method, which matters more than confirming it from a second person.

Adding the boring version of dead volume across syringe, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

0 likes in reply to #5 9mo
NM
n.moreauTL23 Nov 2025#19

Reusing a needle blunts it and there is no benefit to offset that. The second injection with the same needle is the one people describe as painful.

This is the version I would want a new member to read first.

27 likes 9mo
PM
p.mbekiTL25 Nov 2025#20

If your calculated volume is under two graduations, choose a lower concentration rather than trying to read between marks. Precision comes from the preparation, not the eye.

I am aware this is the third time this month I have made this point.

13 likes 9mo
JM
j.mwangiTL4 Moderator8 Nov 2025#21
n.moreau, post #19: Reusing a needle blunts it and there is no benefit to offset that. The second injection with the same needle is the one people describe as painful. This is the version I would want a new member to read first. Go to post

Following this. I have the same question and no better information than the first post.

0 likes in reply to #19 9mo
DE
d.eriksenTL210 Nov 2025#22
w.novak, post #4: The opening post and I disagree about the size of the effect, not about the direction. The useful distinction on dead volume across syringe is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars. Go to post

On post #18 — agreed on the reasoning, with one qualification.

Safety-engineered needles are worth using if you have children or anyone else in the house, and the retraction mechanism occupies dead volume that ordinary syringes do not.

If it helps: the failure mode here is usually boring rather than dramatic.

0 likes in reply to #4 9mo
MS
m.strand_rphTL3Pharmacist12 Nov 2025#23

Filter needles are for drawing from glass ampoules where particulate is a real risk. For a stoppered vial they add dead volume in exchange for very little.

4 likes 8mo
BV
b.vanheckeTL214 Nov 2025#24

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.

12 likes 8mo
PE
ppm_errorTL3Analytical chemist17 Nov 2025#25

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 8mo
AP
a.pereiraTL219 Nov 2025#26
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preregisteredTL3Research methods21 Nov 2025#27

I would be cautious about generalising from the dead volume across syringe example above. It is a good example. It is one example.

7 likes 8mo
NC
n.cardosoTL223 Nov 2025#28

A definition problem is doing most of the work in this dead volume across syringe discussion. Once the term is pinned down I suspect the disagreement mostly goes away and what is left is small.

18 likes 8mo
OL
o.lindgrenTL2Regular25 Nov 2025 · edited#29

A detachable luer needle plus hub can retain enough volume to matter. Whether it matters to you depends on your dose, and the arithmetic is worth doing once.

19 likes 8mo
NV
n.vukovicTL227 Nov 2025#30
n.cardoso, post #28: A definition problem is doing most of the work in this dead volume across syringe discussion. Once the term is pinned down I suspect the disagreement mostly goes away and what is left is small. Go to post

On dead volume across syringe, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.

0 likes in reply to #28 8mo