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.