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Topic summary

Fixed versus detachable needles: the trade-offs

This is a generated summary. It shows the 9 most-liked posts from a topic of 122, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
HN
h.nwosuTL210 Nov 2024#1

Posting this under the heading it deserves: Fixed versus detachable needles: the trade-offs Everything below is what sits behind that.

I was wrong about fixed versus detachable needles in a thread last spring and I would like to correct it publicly rather than quietly.

The error was in the units, which changed the conclusion by an order of magnitude. Setting out the corrected version, and the way I now check for that class of mistake.

50 likes 21mo
KF
k.fonsecaTL2 Solution15 Nov 2024#6

Post #2 put the caveat in the right place and I want to underline it.

The quoted dead-volume figures for common configurations vary between manufacturers and the ordering is stable: fixed needle least, luer with hub more, luer with filter needle most.

7 likes 20mo
RJ
r.jhannsdttirTL3Regular22 Nov 2024#14
journalclub_wren, post #9: 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 changed my mind on this once already, so take it as current rather than settled. 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.

None of the above is medical advice and I am not qualified to give any.

29 likes in reply to #9 20mo
DF
d.fontaineTL229 Nov 2024#25

That reframing is the whole thing. The facts I already had.

29 likes 20mo
SC
s.chowdhuryTL3Regular4 Dec 2024#33

Post #31 describes the usual case. This is about the unusual one.

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.

33 likes 20mo
CO
c.ostergaardTL215 Dec 2024#51

Fixed versus detachable needles is well covered in the tag pages, and the older discussions are better than the recent ones because they were argued out properly. Worth twenty minutes before adding to this one.

31 likes 19mo
HD
h.delgadoTL231 Dec 2024#83

Sharps containers are a legal requirement for disposal in several jurisdictions and a sensible precaution everywhere. A rigid sealed container is the minimum.

31 likes 19mo
RM
r.mcalisterTL3Regular4 Jan 2025#90
y.adebayo, post #36: My understanding of fixed versus detachable needles is a few years old and may have been superseded. If it has been, I would genuinely like to know rather than keep repeating it. 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.

30 likes in reply to #36 19mo
W
WendelboeTL2Member19 Jan 2025#122

That is consistent with mine, for whatever one more account is worth.

31 likes 18mo

Read the full topic (122 posts)

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