Kandil E, et al. - Researchers reported their initial experience using continuous intraoperative neuromonitoring (CIONM) of the vagus nerve to obtained frequent repetitive electromyography (EMG) data to recognize early change in intraoperative function of the recurrent laryngeal nerve. They retrospectively reviewed data for all patients who underwent neck surgery by a single surgeon at a North American institution over a 5 year period. In cases with possible higher risk of traction injury and according to surgeon preference, stretch injury was established by warning alarm with threshold of ≥50% reduction in amplitude and/or ≥ 10% increase in latency. Outcomes suggested automatic periodic stimulation (APS) technology as safe and feasible. The technology provided help in approximately 10% of cases in their series, which developed nascent neurapraxia adverse EMG changes associated with intraoperative recurrent laryngeal nerve stretch that could be reversed intraoperatively.