Gauge. Understanding the numbers

In medical practice, particularly in fields like phlebotomy (procedure in which a needle is used to take blood from a vein, usually for laboratory testing) and injections, the term “gauge” holds significant importance. It refers to the size or diameter of lancets and needles. Understanding gauge is crucial for healthcare professionals and users to ensure accurate and safe procedures. So, what exactly does gauge mean, and how do the numbers correlate?

Gauge

Gauge, in the context of lancets and needles, denotes the diameter of the needle bore. It is typically measured in gauge sizes, with smaller gauge numbers indicating larger diameters and vice versa. The gauge size is directly related to the thickness of the needle, influencing factors like flow rate, penetration force, and patient comfort during injections.

The gauge size of a needle is denoted by a number. For instance, a common gauge size for needles used in injections is 25 gauge or 25G, while lancets for blood glucose monitoring often come in 30G up to 33G. The higher the gauge number, the thinner the needle. This is something to remember!

Gauge to mm (table)

The table below will help you convert gauge to millimeter.

GaugeMillimeters
15G1,8 mm
16G1,6 mm
17G1,4 mm
18G1,2 mm
19G1,0 mm
20G0,9 mm
21G0,8 mm
22G0,7 mm
23G0,6 mm
24G0,55 mm
25G0,5 mm
26G0,45 mm
27G0,42 mm
28G0,37 mm
29G0,34 mm
30G0,31 mm
31G0,29 mm
32G0,27 mm
33G0,25 mm
34G0,23 mm
35G0,21 mm

A 30G needle is thinner than a 25G needle. Thinner needles are often preferred for procedures requiring precision and minimal discomfort, such as insulin injections and blood glucose testing. They cause less tissue trauma and pain upon insertion.

Conversely, larger gauge needles are employed for procedures requiring rapid fluid administration or blood collection. For instance, a 16G needle is significantly larger than a 25G needle and is typically used for procedures like blood donation or rapid fluid resuscitation.

To conclude

In summary, gauge in lancets and needles signifies the diameter of the needle bore, with lower gauge numbers indicating larger diameters. Healthcare professionals must consider various factors when selecting the appropriate gauge size for medical procedures to ensure patient safety, comfort, and procedural accuracy.

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