Method and system for selective tetanic stimulus in patient monitoring

A method for patient monitoring before, during, and/or after a surgical procedure, comprising:

• applying a tetanic stimulus to a nerve of a patient for a first preset duration via a peripheral nerve stimulator of a patient care and monitoring system;
• measuring and registering an initial physiological response of the patient at a start of the tetanic stimulus via a physiological response monitor of the patient care and monitoring system;
• monitoring a physiological response of the patient periodically within the first preset duration via the physiological response monitor;
• automatically preemptively aborting the tetanic stimulus administered by the peripheral nerve stimulator based on a comparison of the physiological response to the initial physiological response indicating that the physiological response is different from the initial physiological response;
• halting application of the tetanic stimulus by the peripheral nerve stimulator for a second preset duration;
• and
• applying the tetanic stimulus to the nerve of the patient via the peripheral nerve stimulator for the first preset duration via the peripheral nerve stimulator until the physiological response is not different from the initial physiological response.

A patient care and monitoring system, comprising:

• a peripheral nerve stimulator;
• a physiological response monitor;
• and
• a host patient monitor comprising a processor and a memory storing instructions that, when executed by the processor, cause the host patient monitor to:
• apply a tetanic stimulus to a nerve of a patient for a preset duration via the peripheral nerve stimulator;
• register an initial physiological response of the patient, detected by the physiological response monitor, at a start of the tetanic stimulus;
• monitor a physiological response of the patient periodically within the preset duration via the physiological response monitor;
• and
• automatically preemptively abort the tetanic stimulus based on a comparison of the physiological response to the initial physiological response.