Kandil E, et al. - Herein, based on their experience, experts assessed the continuous intraoperative neuromonitoring (CIONM) of the vagus nerve to obtain frequent repetitive electromyography (EMG) data to recognize an early change in intraoperative function of the recurrent laryngeal nerve (RLN) following thyroid surgery. In patients who underwent neck surgery, a stretch injury was established by an automatic periodic stimulation (APS) alarm. In approximately 10% of cases that developed nascent neurapraxia adverse EMG changes related to intraoperative RLN stretch that could be reversed intraoperatively, APS technology was noted to be safe, feasible, and helpful.