Accepted answer
At 2.5 mg/mL every microlitre left behind is 2.5 µg, so a 50 µL hub costs 0.125 mg per draw and a 5 µL fixed-needle barrel costs 0.0125 mg. Multiply by the draws, not by the doses: ten draws through a 50 µL dead space is 1.25 mg gone, which at 2.5 mg/mL is 0.5 mL of solution you paid for and never administered. Against a 2 mg dose that 50 µL is 6.3 per cent; against a 0.25 mg dose it is 50 per cent, which is why the loss matters most at exactly the doses where you can least afford it. a 29G needle has a bore, a hub and a length, and the hub dominates: a fixed-needle insulin barrel has almost none, a luer connection has a measurable one before the needle even starts.
Dead space is the volume trapped in the syringe hub and needle after the plunger bottoms out, and it is the reason your 10 mg vial yields only 9.5 mg of usable draws.
Configuration A — 1 mL luer-lock plus detachable needle, dead space 84 µL: each draw removes 100 + 84 = 184 µL. Draws available from 2,000 µL = 2000 / 184 = 10.87, so 10 full draws.
Dead space by syringe type
| Configuration | Dead volume | Loss at 5 mg/mL | Over 20 draws |
|---|
| Fixed-needle insulin syringe | 3–5 µL | 15–25 µg | 0.3–0.5 mg |
| Low-dead-space, detachable | <2 µL | <10 µg | <0.2 mg |
| Standard luer-lock + 30G | 35–60 µL | 175–300 µg | 3.5–6 mg |
| Luer-lock + 21G drawing needle | 70–100 µL | 350–500 µg | 7–10 mg |
Be sceptical of anything advertised as low dead space that retains a conventional plunger tip: if you can look into the fitting with the plunger fully forward and see an open conical void, that void is your dead space.
Syringe residual volume has been measured properly, mainly in the infection-control literature, with a median residual of about 84 µL for a conventional 1 mL syringe with a detachable needle and roughly 2 µL for a fixed-needle low-dead-space design.
Buy the right syringe — a fixed-needle insulin syringe is cheap and solves the problem.
Does this change at lower concentrations, or does adsorption start to dominate? – rae_oyelowo 8 months ago add a comment