https://www.selleckchem.com/products/l-monosodium-glutamate-monohydrate.html tion. EOS serum lactate, duration of surgery and number of packed RBCs units transfused were potential predictors of post-transplant early extubation. We aimed to assess the feasibility of using supraglottic devices as an alternative to orotracheal intubation for airway management during anesthesia for endovascular treatment of unruptured intracranial aneurisms in our department over a nine-year period. Retrospective single center analysis of cases (2010-2018). Primary outcomes airway management (supraglottic device repositioning, need for switch to orotracheal intubation, airway complications). aneurysm complexity, history of subarachnoid hemorrhage, hemodynamic monitoring, and perioperative complications. We included 187 patients in two groups supraglottic device 130 (69.5%) and orotracheal intubation 57 (30.5%). No adverse incidents were recorded in 97% of the cases. Three supraglottic device patients required supraglottic device repositioning and 1 supraglottic device patient required orotracheal intubation due to inadequate ventilation. Three orotracheal intubation patients had a bronchospasm or laryngospasm during awakening. Forty-five patientntracranial aneurisms.Supraglottic airway devices (SAD) have got popularity in the anesthetic practice owing to easy insertion, rapid airway access and lower incidence of complications. Igel® is a second generation SAD with a non-inflatable cuff and gastric drainage channel. Despite ease of insertion, there are still cases of failure of Igel® insertion to secure airway. We are hereby presenting a case of unanticipated difficulty in Igel® insertion in a 35-years-old female due to a hypopharyngeal growth. This article aims to send a reminder that despite anticipated easy airway, definitive plan for securing airway should always be ready. Nerve block or neurolysis is an important approach in the treatment of spastic equinovarus foot. To illustrate t