A well-trained and certified technologist will be using a top-of-the-line computerized system that is specifically designed to perform nerve monitoring for your surgery.  Small non-invasive electrodes will be placed over a nerve or muscle area and connected to the Optimum technologists computer.  The computer will stimulate the nerves in the specified area of the patient to record the signals in that area.  These signals will tell the technologist and ultimately you as the physician how fast your nerves are carrying the signals through the central nervous system of your patient during the surgery.