Chui J, Chohan MBY, Murkin JM, et al. - This prospective, blinded, parallel group, superiority design, single-center, randomized controlled study was undertaken to investigate whether an automated nerve monitor could minimize intraoperative nerve injury and thus offer improved clinical results in patients receiving shoulder arthroplasty. Participants were equally randomized into either the automated nerve-monitored or the blinded monitored groups. It was found that duration of nerve alerts did not differ statistically significantly between automated nerve-monitored and control groups. It was inferred that nerve injury prevention is a shared responsibility between surgeons and anesthesiologists. The real-time feedback afforded by the automated nerve monitor led to a progressive improvement of clinical results in both groups during the course of the study, but findings did not show that important clinical results were altered by automated nerve monitoring by itself vs no monitoring.