You use a nerve integrity monitoring (NIM) tube for the procedure. How should the tube be positioned to ensure correct monitoring of the vocal cords?

  • It is essential to ensure the electrodes are contacting adequately at the level of the vocal cords for accurate monitoring:
    • Middle of the blue marked region should contact the true vocal cords (1)
    • Red electrodes are positioned to the patient’s right and blue electrodes to the left (1)