would you consider applying topical cream, such as
EMLA or LMX4, a standard of practice for piv
insertions/blood draw especially for the peds
population?

the other question is 'when is "OK" not to use the
cream'? -- emergent situation, known allergy to lido?
some staffs claim that the cream(s) <might> cause
vasoconstriction. per my observation, the
vasoconstriction reaction on the same person is not
consistent.

any thought?

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