We describe a novel technique using double electrode pads for intraoperative neuromonitoring of the recurrent laryngeal nerve. This is a novel setup of intraoperative neuromonitoring that helps protect against faulty readings due to tube migration during surgery and allows for the recording of "side-specific" recurrent laryngeal nerve information. This method has not been previously described in the literature. This original approach to neuromonitoring helps guard against tube migration, simplifies the intubation process, allows for the acquisition of side-specific information, and is less expensive than use of commercially available integrated endotracheal tubes.
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