What is the role of anesthesia in contraceptive implant placement?

Updated: Jan 29, 2018
  • Author: Megan Brady Shannon, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Anesthesia

After cleaning the insertion site with antiseptic, sterile gloves should be worn by the practitioner. In preparation for local anesthesia, 1-2 mL of 1% lidocaine with or without epinephrine should be drawn into a syringe with an 18-gauge needle. Then, a smaller 25-gauge needle should be applied to the syringe. The lidocaine should be injected along the planned subdermal insertion site of the implant to both hydrodistend and anesthetize the space where the implant is to be inserted (see image below).

The insertion site, which is at the inner side of The insertion site, which is at the inner side of the nondominant upper arm about 8cm above the medial epicondyle of the humerus.

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