# Quantitative Neuromuscular Blockade Monitoring During Surgical Manipulation of the Axillary Artery: A Case Report

## TL;DR

This case report explores how neuromuscular monitoring can help assess nerve function during axillary artery surgery.

## Contribution

The paper introduces the combined use of electromyography and neuromonitoring in vascular surgery for real-time nerve function assessment.

## Key findings

- Electromyography can monitor ulnar nerve function during axillary artery manipulation.
- Site selection for neuromuscular blockade monitoring is crucial for accurate results.
- The vasa nervorum may provide resilience to peripheral nerves during surgical stress.

## Abstract

Vascular surgery often involves the manipulation of major arteries that supply both the central and peripheral nervous systems. Here, we discuss the use of electromyography technology used for neuromuscular blockade monitoring in conjunction with intraoperative neuromonitoring to assess the function of the ulnar nerve during surgical manipulation of the axillary artery. This case highlights the importance of site selection for neuromuscular blockade monitoring as well as the dynamics of the neurovascular system and the resilience that the vasa nervorum may afford peripheral nerves.