When aiming to optimize stimulation, what is likely to help with reducing discomfort during nerve monitoring?

Reducing the number of repetitions is an effective strategy to help reduce discomfort during nerve monitoring. When patients undergo nerve stimulation, the discomfort they experience can often be linked to the frequency and intensity of the stimulation. By minimizing the number of times a stimulus is applied, the overall sensation can be lessened, leading to a more tolerable experience for the patient. This is particularly important in intraoperative settings where patient comfort is a priority, especially during prolonged periods of monitoring.

Increasing the pulse width may enhance muscle contraction but can also increase discomfort due to delivering a stronger stimulation to the nerve. Adjusting the frequency of stimulation affects the rate of nerve activation and can lead to increased discomfort if the frequency is too high. Changing the positioning of electrodes can improve the quality of the signal but does not necessarily address the sensation of discomfort directly. Therefore, reducing the number of repetitions stands out as a clear method to optimize stimulation and minimize patient discomfort during nerve monitoring procedures.