An electromyography muscle sensing system including a sensor platform and a cloud-based data analysis and storage platform. The sensor platform has an electromyography muscle sensor having sensing electrodes and a signal processing circuit having a sensor output, an analog-to-digital converter having a digital output, a memory, a communications device, a display indicating a status and an indication of CMAP presence, a microcontroller maintaining a record of a current procedure, transmitting in real-time the record, determining if CMAP is being achieved, and displaying a status or indication of CMAP. The data analysis and storage platform has a database, organizes and stores the output data, maintains a history of each procedure, analyzes the output data and defines a successful CMAP outcome, predicts an outcome of the current procedure if the output data correlates with stored output data of a successful CMAP outcome, and real-time communicates the outcome of the current procedure.