If we have to do a manual on a baby we use a doppler, impossible to hear with a stethoscope. However, we very rarely do manuals at all. If we get an 'off' reading I often leave the cuff on and dinamap...
You guys have to get local creams ordered in the US? (I'm guessing that means prescribed!?) We use ametop or emla on most kids for IV insertion and it doesn't need to be prescribed. We can just decide...