McCoy laryngoscope blade anaesthesia hinged tip mechanism advantages clinical uses

ls -la /tmp/workspace/ 2>/dev/null || mkdir -p /tmp/workspace && echo "workspace ready"

mkdir -p /tmp/workspace/laryngoscope-cheatsheet && cat > /tmp/workspace/laryngoscope-cheatsheet/generate_cheatsheet.py << 'PYEOF' from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.lib.units import mm, cm from reportlab.platypus import ( SimpleDocTemplate, Table, TableStyle, Paragraph, Spacer, HRFlowable, KeepTogether ) from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_RIGHT from reportlab.platypus import BaseDocTemplate, PageTemplate, Frame from reportlab.pdfgen import canvas from reportlab.lib.colors import HexColor # ── Colour palette (clinical, readable) ───────────────────────────────────── DARK_BLUE = HexColor("#1A3A5C") # header bg MID_BLUE = HexColor("#2E6DA4") # section headers LIGHT_BLUE = HexColor("#D6E8F7") # alternate row / header bg ACCENT_RED = HexColor("#C0392B") # warnings/highlights ACCENT_GRN = HexColor("#1E8449") # "preferred" green ACCENT_ORG = HexColor("#E67E22") # McCoy orange LIGHT_GREY = HexColor("#F2F2F2") # table row alt WHITE = colors.white BLACK = colors.black W, H = A4 # 595 x 842 pts # ── Page background + header/footer canvas callback ───────────────────────── def draw_page(c, doc): c.saveState() # Top banner c.setFillColor(DARK_BLUE) c.rect(0, H - 38*mm, W, 38*mm, fill=1, stroke=0) # Title c.setFillColor(WHITE) c.setFont("Helvetica-Bold", 16) c.drawCentredString(W/2, H - 14*mm, "LARYNGOSCOPE BLADE SELECTION") c.setFont("Helvetica", 9) c.drawCentredString(W/2, H - 22*mm, "Quick-Reference Cheat Sheet | Anaesthesia") c.setFont("Helvetica-Oblique", 7.5) c.drawCentredString(W/2, H - 29*mm, "Sources: Miller's 10e · Morgan & Mikhail 7e · Barash 9e · Fishman's · Scott-Brown's") # Bottom footer c.setFillColor(DARK_BLUE) c.rect(0, 0, W, 9*mm, fill=1, stroke=0) c.setFillColor(WHITE) c.setFont("Helvetica", 7) c.drawString(12*mm, 3*mm, "For educational use only · Verify with current institutional guidelines") c.drawRightString(W - 12*mm, 3*mm, f"Page {doc.page}") c.restoreState() # ── Document setup ──────────────────────────────────────────────────────────── OUTPUT = "/tmp/workspace/laryngoscope-cheatsheet/Laryngoscope_Blade_Cheatsheet.pdf" doc = BaseDocTemplate( OUTPUT, pagesize=A4, leftMargin=12*mm, rightMargin=12*mm, topMargin=44*mm, bottomMargin=14*mm, ) frame = Frame( doc.leftMargin, doc.bottomMargin, W - doc.leftMargin - doc.rightMargin, H - doc.topMargin - doc.bottomMargin, id="main" ) doc.addPageTemplates([PageTemplate(id="main", frames=frame, onPage=draw_page)]) # ── Styles ──────────────────────────────────────────────────────────────────── styles = getSampleStyleSheet() def sec_header(text): return Paragraph( f"<font color='white'><b>{text}</b></font>", ParagraphStyle("sh", fontSize=9, leading=12, backColor=MID_BLUE, textColor=WHITE, leftIndent=4, rightIndent=4, spaceBefore=5, spaceAfter=3, borderPad=3) ) body = ParagraphStyle("body", fontSize=7.5, leading=10, spaceAfter=2) small = ParagraphStyle("small", fontSize=7, leading=9) bold_small = ParagraphStyle("bsmall", fontSize=7.5, leading=9, fontName="Helvetica-Bold") center_bold = ParagraphStyle("cb", fontSize=8, leading=10, alignment=TA_CENTER, fontName="Helvetica-Bold") center_sm = ParagraphStyle("csm", fontSize=7, leading=9, alignment=TA_CENTER) warning = ParagraphStyle("warn", fontSize=7.5, leading=10, textColor=ACCENT_RED, fontName="Helvetica-Bold") green_s = ParagraphStyle("grn", fontSize=7.5, leading=10, textColor=ACCENT_GRN, fontName="Helvetica-Bold") # Reusable cell text builder def C(txt, style=None, color=None): st = style or small if color: return Paragraph(f"<font color='{color}'><b>{txt}</b></font>", st) return Paragraph(txt, st) def CB(txt, c=None): col = f" color='{c}'" if c else "" return Paragraph(f"<b{col}>{txt}</b>", small) story = [] # ═══════════════════════════════════════════════════════════════════════ # SECTION 1 - OVERVIEW BOX # ═══════════════════════════════════════════════════════════════════════ story.append(sec_header("1 OVERVIEW: COMPONENTS OF A LARYNGOSCOPE")) overview_data = [ [CB("Handle"), Paragraph("Contains batteries / light source. Standard sizes: regular, short (bariatric/obstetric). Detachable from blade.", small)], [CB("Blade"), Paragraph("The working element. Two fundamental types: <b>Curved</b> (Macintosh, McCoy) and <b>Straight</b> (Miller, Wisconsin, Magill).", small)], [CB("Flange"), Paragraph("The vertical wall of the blade that displaces the tongue laterally. Wider in curved blades → more oropharyngeal space.", small)], [CB("Light source"), Paragraph("Bulb at blade tip (conventional) | Fiberoptic bundle (MRI compatible) | LED (modern, brighter).", small)], [CB("Electrical contact"), Paragraph("At blade-handle junction. Completes circuit when blade is locked at 90°.", small)], ] t = Table(overview_data, colWidths=[32*mm, None]) t.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,-1), LIGHT_GREY), ("BACKGROUND", (0,0),(0,-1), LIGHT_BLUE), ("GRID", (0,0),(-1,-1), 0.4, colors.grey), ("VALIGN", (0,0),(-1,-1), "TOP"), ("LEFTPADDING", (0,0),(-1,-1), 5), ("RIGHTPADDING", (0,0),(-1,-1), 5), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING", (0,0),(-1,-1), 3), ("ROWBACKGROUNDS", (0,0),(-1,-1), [LIGHT_BLUE, LIGHT_GREY]), ])) story.append(t) story.append(Spacer(1, 3*mm)) # ═══════════════════════════════════════════════════════════════════════ # SECTION 2 - MAIN COMPARISON TABLE # ═══════════════════════════════════════════════════════════════════════ story.append(sec_header("2 MACINTOSH vs MILLER vs McCOY — COMPARISON")) # Header row hdr = [ Paragraph("<b>Feature</b>", center_bold), Paragraph("<font color='white'><b>MACINTOSH</b></font>", ParagraphStyle("mh", fontSize=9, alignment=TA_CENTER, fontName="Helvetica-Bold", textColor=WHITE)), Paragraph("<font color='white'><b>MILLER</b></font>", ParagraphStyle("mh2", fontSize=9, alignment=TA_CENTER, fontName="Helvetica-Bold", textColor=WHITE)), Paragraph("<font color='white'><b>McCOY</b></font>", ParagraphStyle("mh3", fontSize=9, alignment=TA_CENTER, fontName="Helvetica-Bold", textColor=WHITE)), ] rows = [ ["Shape", "Curved (C-shaped)", "Straight (L-shaped)", "Curved + hinged distal tip"], ["Year / Inventor", "1943 / Sir Robert Macintosh\n(Oxford)", "1941 / Robert Miller\n(Texas)", "1993 / Eamon P. McCoy"], ["Tip placement", "Vallecula\n(between tongue base & epiglottis)", "Under epiglottis\n(posterior surface)", "Vallecula\n(+ lever flexes tip)"], ["Epiglottis lift", "INDIRECT\n(hyoepiglottic ligament tension)", "DIRECT\n(physically elevates epiglottis)", "INDIRECT + augmented\n(lever lifts tip focally)"], ["Standard adult size", "Size 3\n(size 4 for large adults)", "Size 2\n(size 3 for large)", "Size 3"], ["Available sizes", "0, 1, 2, 3, 4", "0, 1, 2, 3, 4", "3, 4 only"], ["Flange", "Wide → more oropharyngeal space\n→ easier ETT passage", "Narrow → less oropharyngeal space", "Wide (similar to Macintosh)"], ["Force required", "Moderate", "More direct force\n(higher)", "Less force overall\n(lever does the work)"], ["Dental trauma risk", "Lower (wide flange distributes force)", "Moderate-Higher\n(direct levering)", "Lower"], ["Hemodynamic response", "Moderate", "Higher", "Lower\n(less overall force)"], ["Preferred: Adults", "YES — gold standard", "If difficult view", "Difficult airway adults"], ["Preferred: Pediatrics", "Less preferred", "YES — 1st choice", "Occasionally"], ["Best for: Long/floppy epiglottis", "No", "YES", "YES (lever lifts it)"], ["Best for: Anterior larynx\n(short TMD, prominent teeth)", "No", "YES", "YES (lever elevation)"], ["Best for: Limited neck mobility\n(C-spine injury/fixation)", "No", "No", "YES — 1st choice"], ["Best for: Requires BURP/ELP", "Often needed", "Sometimes", "Reduces need for ELP"], ["C-L grade improvement", "Baseline reference", "Better direct view", "Improves by 1–2 grades"], ["Special feature", "Gold standard curved blade.\nMost widely used worldwide.", "Best direct glottic view.\nNarrow profile.", "Lever-controlled hinged tip.\nReduces cardiovascular stress."], ["Cost", "Low", "Low", "Moderate-High"], ] def make_row(cells, i): bg_feat = LIGHT_BLUE if i % 2 == 0 else LIGHT_GREY return [ Paragraph(f"<b>{cells[0]}</b>", ParagraphStyle("feat", fontSize=7, leading=9, fontName="Helvetica-Bold")), Paragraph(cells[1].replace("\n","<br/>"), small), Paragraph(cells[2].replace("\n","<br/>"), small), Paragraph(cells[3].replace("\n","<br/>"), small), ] table_data = [hdr] + [make_row(r, i) for i, r in enumerate(rows)] CW = [38*mm, 48*mm, 44*mm, 44*mm] main_table = Table(table_data, colWidths=CW, repeatRows=1) main_table.setStyle(TableStyle([ # Header row colours ("BACKGROUND", (0,0),(0,0), LIGHT_BLUE), ("BACKGROUND", (1,0),(1,0), MID_BLUE), ("BACKGROUND", (2,0),(2,0), HexColor("#1A5C2E")), ("BACKGROUND", (3,0),(3,0), HexColor("#7D3C00")), # Alternating row colours ("ROWBACKGROUNDS", (0,1),(-1,-1), [LIGHT_GREY, WHITE]), # Feature column ("BACKGROUND", (0,1),(0,-1), LIGHT_BLUE), # Grid ("GRID", (0,0),(-1,-1), 0.4, colors.grey), ("VALIGN", (0,0),(-1,-1), "TOP"), ("LEFTPADDING", (0,0),(-1,-1), 4), ("RIGHTPADDING", (0,0),(-1,-1), 4), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING", (0,0),(-1,-1), 3), ])) story.append(main_table) story.append(Spacer(1, 3*mm)) # ═══════════════════════════════════════════════════════════════════════ # SECTION 3 - CLINICAL SELECTION GUIDE # ═══════════════════════════════════════════════════════════════════════ story.append(sec_header("3 CLINICAL BLADE SELECTION GUIDE")) sel_data = [ [Paragraph("<b>Clinical Scenario</b>", center_bold), Paragraph("<b>Blade of Choice</b>", center_bold), Paragraph("<b>Rationale</b>", center_bold)], ["Routine adult intubation", CB("Macintosh size 3", "#2E6DA4"), "Gold standard; most familiar; adequate oropharyngeal space"], ["Large adult / deep pharynx", CB("Macintosh size 4", "#2E6DA4"), "Tip reaches vallecula in patients with long thyromental distance"], ["Infant / neonate (< 1 yr)", CB("Miller size 0 or 1", "#1A5C2E"), "Anterior larynx (C2–C3); long epiglottis; straight blade gives better view"], ["Child 1–8 years", CB("Miller size 1 or Wis-Hippel 1.5", "#1A5C2E"), "Same anatomical rationale as neonates; small straight blade preferred"], ["Child > 8 years / adult", CB("Macintosh size 2–3", "#2E6DA4"), "Larynx descends to adult position (C4–C5)"], ["Long / floppy epiglottis", CB("Miller or McCoy (lever)", "#1A5C2E"), "Miller directly lifts it; McCoy lever elevates without gross movement"], ["Short thyromental distance\n(< 6 cm / 3 FB)", CB("Miller or McCoy", "#1A5C2E"), "Straight or levering blade needed; curved blade tip cannot reach vallecula"], ["Prominent upper incisors\n(anterior larynx)", CB("Miller or McCoy", "#1A5C2E"), "Less overall tongue displacement required"], ["Restricted cervical spine\n(trauma, ankylosing spondylitis, halo frame)", CB("McCoy — 1st choice", "#7D3C00"), "Lever action needs less neck extension; less C-spine force"], ["C-L grade 3 view\n(epiglottis only seen)", CB("McCoy (lever on)", "#7D3C00"), "Lever flexion converts grade 3 → grade 2/1 in majority of cases"], ["Reduced cardiovascular stress\nneeded (IHD, hypertension)", CB("McCoy", "#7D3C00"), "Lower overall force → less sympathetic stimulation"], ["Barrel chest / large breasts\n(restricted blade insertion angle)", CB("Polio blade (135° angle)", "#C0392B"), "Obtuse handle angle allows blade insertion in restricted chest access"], ["MRI suite", CB("Fiberoptic / non-metal blade", "#555"), "No ferromagnetic components; fiberoptic light bundle instead of bulb"], ["Micro-laryngeal surgery\n(very small mouth opening needed)", CB("Miller (narrow profile)", "#1A5C2E"), "Narrow cross-section minimises mouth opening requirement"], ] # Build table sel_rows = [] for i, row in enumerate(sel_data): if i == 0: sel_rows.append(row) else: sel_rows.append([ Paragraph(row[0].replace("\n","<br/>"), small), Paragraph(row[1].get_platypus_str() if hasattr(row[1],"get_platypus_str") else row[1].text if hasattr(row[1],"text") else str(row[1]), small), Paragraph(row[2].replace("\n","<br/>"), small), ]) # simpler approach for sel table sel_raw = [ ["Clinical Scenario", "Blade of Choice", "Rationale"], ["Routine adult intubation", "Macintosh size 3", "Gold standard; adequate oropharyngeal space"], ["Large adult / deep pharynx", "Macintosh size 4", "Tip reaches vallecula in long TMD patients"], ["Infant / neonate (< 1 yr)", "Miller size 0 or 1", "Anterior larynx (C2-C3); long epiglottis"], ["Child 1-8 years", "Miller 1 / Wis-Hippel 1.5", "Same anatomical rationale; small straight blade"], ["Child > 8 years", "Macintosh size 2-3", "Larynx at adult position (C4-C5)"], ["Long / floppy epiglottis", "Miller or McCoy (lever)", "Direct lift or lever elevation of epiglottis"], ["Short TMD (< 6 cm)", "Miller or McCoy", "Curved blade tip cannot reach vallecula"], ["Prominent upper incisors", "Miller or McCoy", "Less tongue displacement required"], ["Restricted C-spine\n(trauma, halo, AS)", "McCoy — 1st choice", "Lever needs less neck extension; less C-spine force"], ["C-L grade 3 view", "McCoy (lever activated)", "Lever converts grade 3 → grade 1/2 in majority"], ["High cardiovascular risk\n(IHD, HTN)", "McCoy", "Less force = less sympathetic stimulation"], ["Barrel chest / large breasts", "Polio blade (135° angle)", "Obtuse angle allows restricted insertion"], ["MRI environment", "Fiberoptic / non-metal blade", "No ferromagnetic components in blade"], ] # Colour coding for blade column blade_colors = { "Macintosh": MID_BLUE, "Miller": HexColor("#1A5C2E"), "McCoy": HexColor("#7D3C00"), "Polio": HexColor("#6C3483"), "Fiberoptic": colors.grey, "Wis": HexColor("#1A5C2E"), } def blade_color(txt): for k, c in blade_colors.items(): if k.lower() in txt.lower(): return c return BLACK sel_table_data = [] for i, row in enumerate(sel_raw): if i == 0: sel_table_data.append([ Paragraph(f"<b>{row[0]}</b>", center_bold), Paragraph(f"<b>{row[1]}</b>", center_bold), Paragraph(f"<b>{row[2]}</b>", center_bold), ]) else: bc = blade_color(row[1]) hex_c = "#{:02X}{:02X}{:02X}".format(int(bc.red*255), int(bc.green*255), int(bc.blue*255)) sel_table_data.append([ Paragraph(row[0].replace("\n","<br/>"), small), Paragraph(f"<font color='{hex_c}'><b>{row[1]}</b></font>", small), Paragraph(row[2], small), ]) sel_table = Table(sel_table_data, colWidths=[52*mm, 46*mm, 76*mm], repeatRows=1) sel_table.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,0), MID_BLUE), ("TEXTCOLOR", (0,0),(-1,0), WHITE), ("ROWBACKGROUNDS", (0,1),(-1,-1), [WHITE, LIGHT_GREY]), ("GRID", (0,0),(-1,-1), 0.4, colors.grey), ("VALIGN", (0,0),(-1,-1), "TOP"), ("LEFTPADDING", (0,0),(-1,-1), 4), ("RIGHTPADDING", (0,0),(-1,-1), 4), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING", (0,0),(-1,-1), 3), ])) story.append(sel_table) story.append(Spacer(1, 3*mm)) # ═══════════════════════════════════════════════════════════════════════ # SECTION 4 - BLADE SIZES AT A GLANCE # ═══════════════════════════════════════════════════════════════════════ story.append(sec_header("4 BLADE SIZES AT A GLANCE")) sz_data = [ [Paragraph("<b>Size</b>", center_bold), Paragraph("<b>Macintosh (Curved)</b>", center_bold), Paragraph("<b>Miller (Straight)</b>", center_bold), Paragraph("<b>McCoy</b>", center_bold)], ["0", "Neonate / premature", "Premature infant", "N/A"], ["1", "Infant", "Infant (< 1 yr)", "N/A"], ["2", "Small child / small adult", "Child 1-8 yrs / small adult", "N/A"], ["3", "Standard adult", "Adolescent / adult", "Standard adult"], ["4", "Large adult", "Large adult", "Large adult"], ] sz_table = Table(sz_data, colWidths=[15*mm, 51*mm, 51*mm, 57*mm]) sz_table.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,0), MID_BLUE), ("TEXTCOLOR", (0,0),(-1,0), WHITE), ("ROWBACKGROUNDS", (0,1),(-1,-1), [LIGHT_GREY, WHITE]), ("GRID", (0,0),(-1,-1), 0.4, colors.grey), ("ALIGN", (0,0),(0,-1), "CENTER"), ("FONTNAME", (0,1),(0,-1), "Helvetica-Bold"), ("LEFTPADDING", (0,0),(-1,-1), 4), ("RIGHTPADDING", (0,0),(-1,-1), 4), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING", (0,0),(-1,-1), 3), ("VALIGN", (0,0),(-1,-1), "MIDDLE"), ])) story.append(sz_table) story.append(Spacer(1, 3*mm)) # ═══════════════════════════════════════════════════════════════════════ # SECTION 5 - KEY CLINICAL PEARLS # ═══════════════════════════════════════════════════════════════════════ story.append(sec_header("5 KEY CLINICAL PEARLS & EXAMINER FAVOURITES")) pearls = [ ("1", MID_BLUE, "Macintosh tip → VALLECULA (indirect lift via hyoepiglottic ligament). " "Miller tip → UNDER EPIGLOTTIS (direct lift). McCoy → vallecula + lever."), ("2", MID_BLUE, "Standard sizes: Macintosh 3 for most adults; Miller 2 for most adults; " "Miller 0/1 for neonates/infants."), ("3", ACCENT_GRN, "Sniffing position: 35° cervical flexion (7-9 cm head elevation) + " "atlantooccipital extension. Aligns oral, pharyngeal, and laryngeal axes."), ("4", ACCENT_GRN, "Correct Macintosh force vector: 45° upward and away, using anterior deltoid + triceps. " "NEVER rock back on upper incisors (wrist flexion) — causes dental trauma."), ("5", HexColor("#7D3C00"), "McCoy blade introduced 1993. Lever activates hinged distal tip (flexes ~70°). " "Place tip in vallecula first, then press lever with thumb. Only epiglottis is elevated."), ("6", HexColor("#7D3C00"), "McCoy reduces Cormack-Lehane grade by 1-2 in most cases. " "Also reduces need for BURP / external laryngeal pressure and blunts hemodynamic response."), ("7", ACCENT_RED, "Curved blades → wider flange → more room for ETT in oropharynx → less dental trauma. " "Straight blades → narrow flange → less oropharyngeal space → more precise technique needed."), ("8", ACCENT_RED, "Infant larynx at C2-C3 (anterior + cephalad). Adult larynx at C4-C5. " "Straight blades preferred in children < 8 years for direct epiglottis control."), ("9", HexColor("#6C3483"), "Polio blade: 135° blade-handle angle for barrel chest, thoracic kyphosis, " "large breasts, or short neck — allows laryngoscopy when standard handle is obstructed."), ("10", colors.black, "Always have a plan B: if Macintosh fails, try Miller or McCoy. " "Video laryngoscopy (C-MAC, McGrath, GlideScope) as escalation for difficult airway."), ] pearl_data = [] for num, col, text in pearls: hex_c = "#{:02X}{:02X}{:02X}".format(int(col.red*255), int(col.green*255), int(col.blue*255)) pearl_data.append([ Paragraph(f"<font color='{hex_c}'><b>{num}</b></font>", ParagraphStyle("pn", fontSize=9, alignment=TA_CENTER, fontName="Helvetica-Bold")), Paragraph(text, small), ]) pearl_table = Table(pearl_data, colWidths=[9*mm, None]) pearl_table.setStyle(TableStyle([ ("ROWBACKGROUNDS", (0,0),(-1,-1), [LIGHT_GREY, WHITE]), ("GRID", (0,0),(-1,-1), 0.4, colors.grey), ("VALIGN", (0,0),(-1,-1), "TOP"), ("LEFTPADDING", (0,0),(-1,-1), 4), ("RIGHTPADDING", (0,0),(-1,-1), 4), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING", (0,0),(-1,-1), 3), ("ALIGN", (0,0),(0,-1), "CENTER"), ])) story.append(pearl_table) story.append(Spacer(1, 3*mm)) # ═══════════════════════════════════════════════════════════════════════ # SECTION 6 - MNEMONIC + OTHER BLADES BOX # ═══════════════════════════════════════════════════════════════════════ mnem_text = ( "<b>Mnemonic — \"Mac Curves, Mil Straights, McCoy Levers\"</b><br/>" "<font color='#2E6DA4'><b>MAC</b>intosh</font> = <b>C</b>urved · <b>C</b>ovallecula · <b>C</b>ommon adult&nbsp;&nbsp;|&nbsp;&nbsp;" "<font color='#1A5C2E'><b>MIL</b>ler</font> = <b>S</b>traight · <b>S</b>ub-epiglottis · <b>S</b>mall children&nbsp;&nbsp;|&nbsp;&nbsp;" "<font color='#7D3C00'><b>McC</b>oy</font> = <b>L</b>ever · <b>L</b>imited neck · <b>L</b>ess force" ) story.append(Paragraph(mnem_text, ParagraphStyle("mnem", fontSize=8, leading=12, backColor=HexColor("#FEF9E7"), borderColor=HexColor("#F0C040"), borderWidth=1, borderPad=5, spaceAfter=4))) story.append(sec_header("6 OTHER NOTABLE BLADES")) other_data = [ [Paragraph("<b>Blade</b>", center_bold), Paragraph("<b>Type</b>", center_bold), Paragraph("<b>Key Feature / Use</b>", center_bold)], ["Wisconsin", "Straight", "Wide flange; commonly used in pediatrics"], ["Wis-Hippel", "Straight", "Pediatric size 1.5; infant/toddler"], ["Seward", "Straight", "Infant and neonate"], ["Magill", "Straight", "Older design; rarely used now"], ["Flagg", "Straight", "Wide flange straight; occasionally in pediatrics"], ["Soper", "Straight", "Modified straight; occasional use"], ["Callander", "Curved", "Modified Macintosh; slightly different curve"], ["Polio blade", "Curved 135°", "Barrel chest, large breasts, limited access"], ["Left-sided blade", "Curved (mirror)", "Right-sided oral lesions / tumours"], ["Fibre-optic blade", "Curved/Straight", "MRI suite; no ferromagnetic components"], ] other_table = Table(other_data, colWidths=[35*mm, 30*mm, None]) other_table.setStyle(TableStyle([ ("BACKGROUND", (0,0),(-1,0), MID_BLUE), ("TEXTCOLOR", (0,0),(-1,0), WHITE), ("ROWBACKGROUNDS", (0,1),(-1,-1), [WHITE, LIGHT_GREY]), ("GRID", (0,0),(-1,-1), 0.4, colors.grey), ("FONTNAME", (0,1),(0,-1), "Helvetica-Bold"), ("VALIGN", (0,0),(-1,-1), "TOP"), ("LEFTPADDING", (0,0),(-1,-1), 4), ("RIGHTPADDING", (0,0),(-1,-1), 4), ("TOPPADDING", (0,0),(-1,-1), 3), ("BOTTOMPADDING", (0,0),(-1,-1), 3), ])) story.append(other_table) story.append(Spacer(1, 3*mm)) # ═══════════════════════════════════════════════════════════════════════ # SECTION 7 - REFERENCES # ═══════════════════════════════════════════════════════════════════════ story.append(sec_header("7 REFERENCES")) refs = [ "1. Miller's Anesthesia, 10th Ed — Gropper MA et al. Chapter 40: Airway Management. Elsevier, 2023.", "2. Morgan & Mikhail's Clinical Anesthesiology, 7th Ed — Chapter 19. McGraw-Hill, 2022.", "3. Barash, Cullen & Stoelting's Clinical Anesthesia, 9th Ed — Chapter 3. Wolters Kluwer, 2023.", "4. Fishman's Pulmonary Diseases & Disorders — Chapter 145: Direct Laryngoscopy & Tracheal Intubation.", "5. Scott-Brown's Otorhinolaryngology Head & Neck Surgery, Vol 1 — Chapter 31.", "6. Roberts & Hedges' Clinical Procedures in Emergency Medicine — Chapter 4: Laryngoscope.", "7. McCoy EP, Mirakhur RK. The levering laryngoscope. Anaesthesia. 1993;48(6):516–519.", "8. Baheti DK et al. Basics of Anaesthesia (DNB / Kaushik reference series).", ] ref_text = "<br/>".join(refs) story.append(Paragraph(ref_text, ParagraphStyle("refs", fontSize=6.5, leading=9, textColor=HexColor("#333333")))) # ── Build PDF ───────────────────────────────────────────────────────────────── doc.build(story) print(f"PDF written to: {OUTPUT}") PYEOF echo "Script written."

cd /tmp/workspace/laryngoscope-cheatsheet && python generate_cheatsheet.py 2>&1

ls -lh /tmp/workspace/laryngoscope-cheatsheet/Laryngoscope_Blade_Cheatsheet.pdf