ls -la /home/daytona/workspace/ 2>/dev/null && mkdir -p /home/daytona/workspace/…

~/laparoscopic-anaesthesia/build.js

const pptxgen = require("pptxgenjs");

const pres = new pptxgen();
pres.layout = "LAYOUT_16x9";
pres.title = "Laparoscopic Surgery – Anaesthetic Considerations";
pres.author = "MD Anaesthesiology";

// ─── COLOUR PALETTE ────────────────────────────────────────────────────────────
const C = {
  navy:      "0A1628",   // dominant dark background
  teal:      "0E7C7B",   // accent / section headers
  tealLight: "14B5B3",   // lighter teal highlight
  gold:      "F4A335",   // key accent / callout
  white:     "FFFFFF",
  offWhite:  "EFF4F8",
  textDark:  "1A2744",
  textGrey:  "5A7184",
  red:       "D94F3D",   // danger / warning
  green:     "2ECC71",   // benefit / safe
  cardBg:    "132240",   // card background on dark slides
  divider:   "1E3A5F",
};

// ─── HELPERS ──────────────────────────────────────────────────────────────────

function titleBar(slide, title, subtitle) {
  // Full-width teal accent bar at top
  slide.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 10, h: 0.85, fill: { color: C.teal } });
  slide.addText(title.toUpperCase(), {
    x: 0.35, y: 0.08, w: 9.3, h: 0.65,
    fontSize: 18, bold: true, color: C.white, fontFace: "Calibri", margin: 0
  });
  if (subtitle) {
    slide.addText(subtitle, {
      x: 0.35, y: 0.88, w: 9.3, h: 0.28,
      fontSize: 10, color: C.gold, fontFace: "Calibri", italic: true, margin: 0
    });
  }
}

function footerLine(slide, text) {
  slide.addShape(pres.ShapeType.rect, { x: 0, y: 5.45, w: 10, h: 0.175, fill: { color: C.navy } });
  slide.addText(text || "MD Anaesthesiology  |  Laparoscopic Surgery – Anaesthetic Considerations", {
    x: 0.2, y: 5.45, w: 9.6, h: 0.175,
    fontSize: 7.5, color: C.tealLight, fontFace: "Calibri", margin: 0
  });
}

function buildBullets(items, opts = {}) {
  return items.map((t, i) => ({
    text: t,
    options: {
      bullet: { type: "bullet", code: "2022" },
      fontSize: opts.fontSize || 13,
      color: opts.color || C.textDark,
      fontFace: "Calibri",
      bold: opts.bold || false,
      breakLine: true,
      paraSpaceBefore: opts.spacing || 4,
    }
  }));
}

function card(slide, x, y, w, h, color) {
  slide.addShape(pres.ShapeType.roundRect, {
    x, y, w, h,
    fill: { color: color || C.offWhite },
    line: { color: C.teal, width: 1.2 },
    rectRadius: 0.1
  });
}

function sectionDivider(slide, number, label) {
  // Full dark background
  slide.background = { color: C.navy };
  // Large faded number watermark
  slide.addText(String(number).padStart(2, "0"), {
    x: 6.5, y: 0.6, w: 3.2, h: 4.5,
    fontSize: 160, bold: true, color: "1A3355", fontFace: "Calibri", margin: 0, transparency: 0
  });
  // Teal vertical accent bar
  slide.addShape(pres.ShapeType.rect, { x: 0.5, y: 1.2, w: 0.12, h: 3.2, fill: { color: C.gold } });
  slide.addText("SECTION", {
    x: 0.75, y: 1.3, w: 5, h: 0.35,
    fontSize: 11, color: C.tealLight, fontFace: "Calibri", bold: true, charSpacing: 4, margin: 0
  });
  slide.addText(label, {
    x: 0.75, y: 1.65, w: 6.5, h: 2.5,
    fontSize: 28, bold: true, color: C.white, fontFace: "Calibri", margin: 0
  });
  footerLine(slide);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 1 – TITLE SLIDE
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.navy };

  // Decorative diagonal band
  s.addShape(pres.ShapeType.rect, { x: -1, y: 3.8, w: 14, h: 0.18, fill: { color: C.teal }, rotate: -5 });
  // Gold accent line
  s.addShape(pres.ShapeType.rect, { x: 0.6, y: 1.45, w: 8.8, h: 0.07, fill: { color: C.gold } });

  s.addText("LAPAROSCOPIC SURGERY", {
    x: 0.6, y: 0.55, w: 8.8, h: 0.8,
    fontSize: 30, bold: true, color: C.white, fontFace: "Calibri", margin: 0
  });
  s.addText("Anaesthetic Considerations", {
    x: 0.6, y: 1.55, w: 8.8, h: 0.65,
    fontSize: 22, bold: false, color: C.tealLight, fontFace: "Calibri", margin: 0
  });
  s.addText("MD Anaesthesiology  |  Theory · Viva · Practical", {
    x: 0.6, y: 2.25, w: 8.8, h: 0.38,
    fontSize: 12, color: C.gold, fontFace: "Calibri", italic: true, margin: 0
  });

  // Sub-topics box
  const topics = [
    "Physiology of Pneumoperitoneum",
    "Cardiovascular & Respiratory Effects",
    "Complications & Management",
    "Anaesthetic Management & ERAS",
  ];
  topics.forEach((t, i) => {
    s.addShape(pres.ShapeType.roundRect, {
      x: 0.6, y: 2.85 + i * 0.55, w: 5.5, h: 0.43,
      fill: { color: C.cardBg }, line: { color: C.teal, width: 1 }, rectRadius: 0.08
    });
    s.addText("▸  " + t, {
      x: 0.65, y: 2.87 + i * 0.55, w: 5.4, h: 0.38,
      fontSize: 12, color: C.offWhite, fontFace: "Calibri", margin: 0
    });
  });

  // Right-side accent circles
  s.addShape(pres.ShapeType.ellipse, { x: 7.8, y: 0.3, w: 2.5, h: 2.5, fill: { color: "0D2B4A" }, line: { color: C.teal, width: 1.5 } });
  s.addText("CO₂", { x: 7.9, y: 0.9, w: 2.2, h: 0.9, fontSize: 32, bold: true, color: C.tealLight, fontFace: "Calibri", align: "center", margin: 0 });
  s.addText("Pneumoperitoneum", { x: 7.9, y: 1.75, w: 2.2, h: 0.4, fontSize: 9, color: C.gold, fontFace: "Calibri", align: "center", italic: true, margin: 0 });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 2 – DEFINITION & HISTORY
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Definition & Overview");

  card(s, 0.3, 1.15, 9.4, 1.35, C.white);
  s.addText("DEFINITION", {
    x: 0.6, y: 1.22, w: 3, h: 0.3, fontSize: 9, bold: true, color: C.teal, fontFace: "Calibri", charSpacing: 2, margin: 0
  });
  s.addText(
    "A minimally invasive surgical technique in which CO₂ pneumoperitoneum is created to separate the abdominal wall from the abdominal viscera, allowing visualization and surgery.",
    {
      x: 0.6, y: 1.52, w: 8.9, h: 0.8,
      fontSize: 13, color: C.textDark, fontFace: "Calibri", margin: 0
    }
  );

  // History tag
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 2.65, w: 0.08, h: 0.38, fill: { color: C.gold } });
  s.addText("Coined by Hans Christian Jacobaeus  (1910)", {
    x: 0.52, y: 2.65, w: 6, h: 0.38,
    fontSize: 12, color: C.teal, bold: true, fontFace: "Calibri", margin: 0
  });

  // Benefits vs Risks two-column
  const benefits = [
    "Smaller incision / less pain",
    "Less opioid requirement",
    "Reduced blood loss",
    "Lower wound infection rate",
    "Early ambulation & bowel function",
    "Shorter hospital stay",
    "Better cosmetic outcome",
    "Reduced stress response",
  ];
  const risks = [
    "Visceral / major vascular injury",
    "CO₂ embolism",
    "Pneumothorax / Pneumomediastinum",
    "Subcutaneous emphysema",
    "DVT / Compartment syndrome",
    "Acute kidney injury",
    "Position-related nerve injuries",
  ];

  // Benefits card
  card(s, 0.3, 3.12, 4.6, 2.1, "#E8F8F0");
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 3.12, w: 4.6, h: 0.32, fill: { color: C.green } });
  s.addText("✓  BENEFITS", { x: 0.35, y: 3.12, w: 4.5, h: 0.3, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(benefits, { fontSize: 10, color: C.textDark, spacing: 2 }),
    { x: 0.4, y: 3.48, w: 4.4, h: 1.7, margin: 0 });

  // Risks card
  card(s, 5.1, 3.12, 4.6, 2.1, "#FEF0EE");
  s.addShape(pres.ShapeType.rect, { x: 5.1, y: 3.12, w: 4.6, h: 0.32, fill: { color: C.red } });
  s.addText("⚠  RISKS", { x: 5.15, y: 3.12, w: 4.5, h: 0.3, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(risks, { fontSize: 10, color: C.textDark, spacing: 2 }),
    { x: 5.2, y: 3.48, w: 4.4, h: 1.7, margin: 0 });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 3 – WHY CO₂?
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Why CO₂ for Pneumoperitoneum?");

  const adv = [
    "Non-combustible – safe with electrocautery",
    "Highly soluble in blood",
    "Rapid elimination through lungs",
    "Non-irritant to peritoneum",
    "Low risk of gas embolism vs. air / N₂",
  ];
  const disadv = [
    "Hypercarbia & respiratory acidosis",
    "Sympathetic stimulation",
    "Increased ICP",
    "Increased IOP",
    "Requires increased minute ventilation",
  ];

  // CO₂ molecule graphic – big watermark text
  s.addText("CO₂", {
    x: 3.5, y: 1.1, w: 3, h: 2.5,
    fontSize: 96, bold: true, color: "D9ECF2", fontFace: "Calibri", align: "center", margin: 0
  });

  // Advantages card
  card(s, 0.3, 1.05, 4.4, 3.2, "#E8F8F0");
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 1.05, w: 4.4, h: 0.38, fill: { color: C.green } });
  s.addText("ADVANTAGES", { x: 0.35, y: 1.07, w: 4.3, h: 0.32, fontSize: 11, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(adv, { fontSize: 12.5, color: C.textDark, spacing: 8 }),
    { x: 0.4, y: 1.5, w: 4.2, h: 2.7, margin: 0 });

  // Disadvantages card
  card(s, 5.3, 1.05, 4.4, 3.2, "#FEF0EE");
  s.addShape(pres.ShapeType.rect, { x: 5.3, y: 1.05, w: 4.4, h: 0.38, fill: { color: C.red } });
  s.addText("DISADVANTAGES", { x: 5.35, y: 1.07, w: 4.3, h: 0.32, fontSize: 11, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(disadv, { fontSize: 12.5, color: C.textDark, spacing: 8 }),
    { x: 5.38, y: 1.5, w: 4.2, h: 2.7, margin: 0 });

  // Pressure callout
  s.addShape(pres.ShapeType.roundRect, { x: 1.5, y: 4.42, w: 7, h: 0.75, fill: { color: C.navy }, rectRadius: 0.1 });
  s.addText("Normal IAP: 5–7 mmHg   |   Adults: 10–15 mmHg   |   Children: 8–12 mmHg", {
    x: 1.5, y: 4.42, w: 7, h: 0.75,
    fontSize: 12, bold: true, color: C.gold, fontFace: "Calibri", align: "center", margin: 0
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 4 – SECTION DIVIDER: PHYSIOLOGICAL EFFECTS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  sectionDivider(s, 1, "Physiological Effects\nof Pneumoperitoneum");
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 5 – CARDIOVASCULAR EFFECTS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Cardiovascular Effects of Pneumoperitoneum");

  // Phase indicators
  ["INITIAL PHASE", "SUSTAINED PHASE"].forEach((ph, pi) => {
    const col = pi === 0 ? C.teal : C.red;
    const bx = 0.3 + pi * 4.85;
    card(s, bx, 1.18, 4.55, 2.65, pi === 0 ? "#EAF6F6" : "#FEF0EE");
    s.addShape(pres.ShapeType.rect, { x: bx, y: 1.18, w: 4.55, h: 0.35, fill: { color: col } });
    s.addText(ph, { x: bx + 0.05, y: 1.2, w: 4.4, h: 0.3, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  });

  const initialItems = [
    "↑ Vagal tone → Bradycardia",
    "Occasionally asystole (rapid insufflation)",
    "↓ Venous return",
  ];
  const sustainedItems = [
    "↑ SVR & ↑ MAP",
    "↓ Cardiac output",
    "↑ Pulmonary vascular resistance",
    "Arrhythmias",
    "↓ Preload (IVC compression)",
  ];

  s.addText(buildBullets(initialItems, { fontSize: 12, color: C.textDark, spacing: 7 }),
    { x: 0.4, y: 1.57, w: 4.3, h: 1.8, margin: 0 });
  s.addText(buildBullets(sustainedItems, { fontSize: 12, color: C.textDark, spacing: 7 }),
    { x: 5.22, y: 1.57, w: 4.3, h: 1.8, margin: 0 });

  // Mechanism box
  card(s, 0.3, 3.95, 4.55, 1.22, C.white);
  s.addText("MECHANISM", { x: 0.38, y: 3.98, w: 4.3, h: 0.28, fontSize: 9, bold: true, color: C.teal, charSpacing: 2, fontFace: "Calibri", margin: 0 });
  const mech = ["IVC compression", "Neurohumoral activation", "Catecholamine & vasopressin release"];
  s.addText(buildBullets(mech, { fontSize: 11, color: C.textDark, spacing: 3 }),
    { x: 0.38, y: 4.28, w: 4.3, h: 0.88, margin: 0 });

  // Management box
  card(s, 5.15, 3.95, 4.55, 1.22, C.white);
  s.addText("MANAGEMENT", { x: 5.23, y: 3.98, w: 4.3, h: 0.28, fontSize: 9, bold: true, color: C.teal, charSpacing: 2, fontFace: "Calibri", margin: 0 });
  const mgmt = ["Slow insufflation", "Adequate preload", "Atropine for vagal bradycardia", "Vasodilators (GTN) for severe HTN"];
  s.addText(buildBullets(mgmt, { fontSize: 11, color: C.textDark, spacing: 3 }),
    { x: 5.23, y: 4.28, w: 4.3, h: 0.88, margin: 0 });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 6 – RESPIRATORY EFFECTS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Respiratory Effects of Pneumoperitoneum");

  const effects = [
    "Diaphragm pushed cephalad",
    "↓ FRC & ↓ Lung compliance",
    "↑ Airway pressure",
    "Basal atelectasis",
    "V/Q mismatch → Hypoxemia",
    "↑ PaCO₂ & ↑ ETCO₂",
    "↑ Work of ventilation",
    "Hypercarbia",
  ];

  card(s, 0.3, 1.12, 4.4, 3.95, C.white);
  s.addText("EFFECTS", { x: 0.4, y: 1.18, w: 4.1, h: 0.28, fontSize: 9, bold: true, color: C.red, charSpacing: 2, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(effects, { fontSize: 12.5, color: C.textDark, spacing: 6 }),
    { x: 0.4, y: 1.48, w: 4.2, h: 3.55, margin: 0 });

  // Management panel
  card(s, 4.9, 1.12, 4.8, 3.95, "#EAF6F6");
  s.addShape(pres.ShapeType.rect, { x: 4.9, y: 1.12, w: 4.8, h: 0.35, fill: { color: C.teal } });
  s.addText("VENTILATION STRATEGY", { x: 4.95, y: 1.14, w: 4.65, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });

  const ventItems = [
    { label: "↑ MV", detail: "by 10–25% (rate preferred over TV)" },
    { label: "TV", detail: "6–8 mL/kg ideal body weight" },
    { label: "PEEP", detail: "5–10 cm H₂O" },
    { label: "Target ETCO₂", detail: "35–40 mmHg" },
    { label: "Recruitment manoeuvres", detail: "when indicated" },
  ];

  ventItems.forEach((item, i) => {
    const vy = 1.58 + i * 0.65;
    s.addShape(pres.ShapeType.roundRect, { x: 5.05, y: vy, w: 4.5, h: 0.52, fill: { color: C.white }, line: { color: C.teal, width: 0.8 }, rectRadius: 0.07 });
    s.addText([
      { text: item.label + "  ", options: { bold: true, color: C.teal, fontSize: 12, fontFace: "Calibri" } },
      { text: item.detail, options: { bold: false, color: C.textDark, fontSize: 11, fontFace: "Calibri" } },
    ], { x: 5.1, y: vy + 0.04, w: 4.35, h: 0.44, margin: 0 });
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 7 – RENAL, HEPATIC, CNS & OCULAR EFFECTS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Renal, Hepatic, CNS & Ocular Effects");

  const systems = [
    {
      title: "RENAL", color: C.teal, bg: "#EAF6F6",
      items: ["↓ Renal blood flow & GFR", "Oliguria", "↑ ADH & renin", "Na⁺ & H₂O retention", "Usually reversible after desufflation"]
    },
    {
      title: "HEPATIC", color: "#7B5EA7", bg: "#F3EEF9",
      items: ["↓ Hepatic blood flow", "↓ Portal venous flow", "Transient ↑ liver enzymes"]
    },
    {
      title: "CNS", color: C.red, bg: "#FEF0EE",
      items: ["↑ ICP (hypercarbia)", "↑ Cerebral blood flow", "Caution in head injury / intracranial HTN"]
    },
    {
      title: "OCULAR", color: C.gold, bg: "#FEF7E8",
      items: ["↑ IOP", "Greater in steep Trendelenburg", "Caution in glaucoma"]
    },
  ];

  systems.forEach((sys, i) => {
    const col = i % 2;
    const row = Math.floor(i / 2);
    const bx = 0.3 + col * 4.85;
    const by = 1.15 + row * 2.2;
    card(s, bx, by, 4.55, 2.05, sys.bg);
    s.addShape(pres.ShapeType.rect, { x: bx, y: by, w: 4.55, h: 0.33, fill: { color: sys.color } });
    s.addText(sys.title, { x: bx + 0.05, y: by + 0.02, w: 4.4, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
    s.addText(buildBullets(sys.items, { fontSize: 11.5, color: C.textDark, spacing: 5 }),
      { x: bx + 0.1, y: by + 0.38, w: 4.3, h: 1.62, margin: 0 });
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 8 – HYPERCARBIA & ETCO₂ CHANGES
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Hypercarbia & ETCO₂ Changes");

  // Hypercarbia causes
  card(s, 0.3, 1.12, 3, 2.2, "#FEF0EE");
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 1.12, w: 3, h: 0.33, fill: { color: C.red } });
  s.addText("CAUSES – HYPERCARBIA", { x: 0.35, y: 1.14, w: 2.9, h: 0.28, fontSize: 9.5, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(["CO₂ absorption", "Prolonged surgery", "Subcutaneous emphysema", "Reduced ventilation"], { fontSize: 12, color: C.textDark, spacing: 7 }),
    { x: 0.38, y: 1.5, w: 2.8, h: 1.75, margin: 0 });

  // Management
  card(s, 3.5, 1.12, 3, 2.2, "#EAF6F6");
  s.addShape(pres.ShapeType.rect, { x: 3.5, y: 1.12, w: 3, h: 0.33, fill: { color: C.teal } });
  s.addText("MANAGEMENT", { x: 3.55, y: 1.14, w: 2.9, h: 0.28, fontSize: 9.5, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(["↑ MV by 10–25%", "Correct tube position", "↓ Insufflation pressure if needed", "Exclude capnothorax"], { fontSize: 12, color: C.textDark, spacing: 7 }),
    { x: 3.58, y: 1.5, w: 2.8, h: 1.75, margin: 0 });

  // ETCO₂ changes table
  card(s, 6.7, 1.12, 3, 4.0, C.white);
  s.addShape(pres.ShapeType.rect, { x: 6.7, y: 1.12, w: 3, h: 0.33, fill: { color: C.navy } });
  s.addText("ETCO₂ QUICK GUIDE", { x: 6.75, y: 1.14, w: 2.9, h: 0.28, fontSize: 9.5, bold: true, color: C.gold, fontFace: "Calibri", margin: 0 });

  const etco2Rows = [
    { change: "↑ ETCO₂", cause: "CO₂ absorption, SubQ emphysema, Capnothorax, Endobronchial intubation (early)", col: C.red },
    { change: "↓ ETCO₂", cause: "CO₂ embolism, PE, Pneumothorax (↓CO), Cardiac arrest", col: "#2980B9" },
  ];
  etco2Rows.forEach((r, i) => {
    const ey = 1.55 + i * 1.7;
    s.addShape(pres.ShapeType.roundRect, { x: 6.8, y: ey, w: 2.8, h: 1.55, fill: { color: i === 0 ? "#FFF5F4" : "#EDF5FF" }, line: { color: r.col, width: 1.2 }, rectRadius: 0.08 });
    s.addText(r.change, { x: 6.85, y: ey + 0.05, w: 2.65, h: 0.35, fontSize: 15, bold: true, color: r.col, fontFace: "Calibri", margin: 0 });
    s.addText(r.cause, { x: 6.85, y: ey + 0.42, w: 2.65, h: 1.05, fontSize: 10, color: C.textDark, fontFace: "Calibri", margin: 0 });
  });

  // Increased ETCO₂ causes below
  card(s, 0.3, 3.45, 6.2, 1.72, C.white);
  s.addText("KEY MNEMONIC – Causes of ↑ ETCO₂", { x: 0.4, y: 3.52, w: 5.8, h: 0.28, fontSize: 9.5, bold: true, color: C.teal, charSpacing: 1, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(["CO₂ absorption from peritoneum", "Subcutaneous emphysema (↑↑ in neck, crepitus)", "Capnothorax", "Endobronchial intubation (initial)"], { fontSize: 11.5, color: C.textDark, spacing: 4 }),
    { x: 0.4, y: 3.82, w: 5.9, h: 1.3, margin: 0 });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 9 – SECTION DIVIDER: COMPLICATIONS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  sectionDivider(s, 2, "Complications of\nLaparoscopic Surgery");
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 10 – COMPLICATIONS OVERVIEW
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Complications – Overview");

  const columns = [
    {
      title: "CARDIOVASCULAR", color: C.red, bg: "#FEF0EE",
      items: ["Bradycardia / Asystole", "Tachycardia", "Arrhythmias", "Hypotension", "Hypertension", "Myocardial ischemia", "Cardiac arrest", "Gas embolism"]
    },
    {
      title: "RESPIRATORY", color: "#2980B9", bg: "#EDF5FF",
      items: ["Hypercarbia / Acidosis", "Pneumothorax", "Capnothorax", "Pneumomediastinum", "Atelectasis", "Endobronchial intubation", "Pulmonary edema"]
    },
    {
      title: "OTHERS", color: "#7B5EA7", bg: "#F3EEF9",
      items: ["Shoulder pain", "PONV", "Oliguria / AKI", "Hypothermia", "DVT", "Corneal abrasion", "Retinal ischemia", "Bowel ischemia", "Position injuries"]
    },
  ];

  columns.forEach((col, i) => {
    const bx = 0.22 + i * 3.25;
    card(s, bx, 1.12, 3.1, 4.0, col.bg);
    s.addShape(pres.ShapeType.rect, { x: bx, y: 1.12, w: 3.1, h: 0.33, fill: { color: col.color } });
    s.addText(col.title, { x: bx + 0.05, y: 1.14, w: 3, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
    s.addText(buildBullets(col.items, { fontSize: 11.5, color: C.textDark, spacing: 5 }),
      { x: bx + 0.1, y: 1.5, w: 2.9, h: 3.57, margin: 0 });
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 11 – SUBCUTANEOUS EMPHYSEMA & CAPNOTHORAX
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Subcutaneous Emphysema & Capnothorax");

  // Sub-Q emphysema
  const sqData = [
    { head: "RISK FACTORS", col: C.teal, items: ["Surgery > 200 min", "> 5–6 trocars / ports", "Age > 65 years", "High insufflation pressure", "Fundoplication"] },
    { head: "FEATURES", col: "#2980B9", items: ["Crepitus (neck / chest wall)", "Neck swelling", "↑↑ ETCO₂"] },
    { head: "MANAGEMENT", col: C.gold, items: ["↓ Insufflation pressure", "Hyperventilate", "Confirm ETT position", "Evaluate for capnothorax", "Check airway edema before extubation"] },
  ];
  sqData.forEach((d, i) => {
    card(s, 0.3 + i * 3.2, 1.12, 3.05, 2.35, C.white);
    s.addShape(pres.ShapeType.rect, { x: 0.3 + i * 3.2, y: 1.12, w: 3.05, h: 0.3, fill: { color: d.col } });
    s.addText(d.head, { x: 0.35 + i * 3.2, y: 1.14, w: 2.9, h: 0.24, fontSize: 9.5, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
    s.addText(buildBullets(d.items, { fontSize: 11, color: C.textDark, spacing: 5 }),
      { x: 0.38 + i * 3.2, y: 1.46, w: 2.85, h: 1.96, margin: 0 });
  });

  // Capnothorax divider label
  s.addShape(pres.ShapeType.rect, { x: 0, y: 3.55, w: 10, h: 0.3, fill: { color: C.teal } });
  s.addText("CAPNOTHORAX", { x: 0.3, y: 3.56, w: 9.4, h: 0.26, fontSize: 11, bold: true, color: C.white, fontFace: "Calibri", charSpacing: 3, margin: 0 });

  const capoData = [
    { head: "FEATURES", col: "#2980B9", items: ["Hypoxia", "↑ Airway pressure", "↓ Breath sounds (unilateral)", "Hypercarbia"] },
    { head: "STABLE – Rx", col: C.green, items: ["↓ Insufflation pressure", "Hyperventilate", "PEEP (if appropriate)"] },
    { head: "UNSTABLE – Rx", col: C.red, items: ["Needle decompression", "Chest tube insertion"] },
  ];
  capoData.forEach((d, i) => {
    card(s, 0.3 + i * 3.2, 3.9, 3.05, 1.62, C.white);
    s.addShape(pres.ShapeType.rect, { x: 0.3 + i * 3.2, y: 3.9, w: 3.05, h: 0.28, fill: { color: d.col } });
    s.addText(d.head, { x: 0.35 + i * 3.2, y: 3.91, w: 2.9, h: 0.24, fontSize: 9.5, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
    s.addText(buildBullets(d.items, { fontSize: 11, color: C.textDark, spacing: 5 }),
      { x: 0.38 + i * 3.2, y: 4.22, w: 2.85, h: 1.27, margin: 0 });
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 12 – ENDOBRONCHIAL INTUBATION & CO₂ EMBOLISM
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Endobronchial Intubation & CO₂ Gas Embolism");

  // Endobronchial intubation section
  card(s, 0.3, 1.12, 4.4, 3.55, C.white);
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 1.12, w: 4.4, h: 0.33, fill: { color: "#2980B9" } });
  s.addText("ENDOBRONCHIAL INTUBATION", { x: 0.35, y: 1.14, w: 4.3, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });

  const ebiData = [
    { sub: "CAUSE", items: ["Cephalad movement of carina during pneumoperitoneum"] },
    { sub: "FEATURES", items: ["Desaturation", "↑ Airway pressure", "Unilateral breath sounds"] },
    { sub: "MANAGEMENT", items: ["Withdraw ETT under auscultation", "Fiberoptic guidance if needed"] },
  ];
  let ey = 1.52;
  ebiData.forEach(d => {
    s.addText(d.sub, { x: 0.4, y: ey, w: 4.1, h: 0.24, fontSize: 9, bold: true, color: C.teal, charSpacing: 1, fontFace: "Calibri", margin: 0 });
    ey += 0.26;
    s.addText(buildBullets(d.items, { fontSize: 11.5, color: C.textDark, spacing: 3 }),
      { x: 0.4, y: ey, w: 4.1, h: 0.5 * d.items.length, margin: 0 });
    ey += 0.5 * d.items.length + 0.08;
  });

  // CO₂ Embolism section
  card(s, 4.9, 1.12, 4.8, 3.55, "#FEF0EE");
  s.addShape(pres.ShapeType.rect, { x: 4.9, y: 1.12, w: 4.8, h: 0.33, fill: { color: C.red } });
  s.addText("CO₂ GAS EMBOLISM", { x: 4.95, y: 1.14, w: 4.65, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });

  const embData = [
    { sub: "CAUSE", items: ["Veress needle entering vessel", "Open venous injury during trocar insertion"] },
    { sub: "FEATURES", items: ["Sudden hypotension", "Sudden ↓ ETCO₂", "Hypoxemia", "Pulmonary HTN", "Arrhythmias / Cardiac arrest"] },
    { sub: "GOLD STANDARD Dx", items: ["TEE (Transesophageal Echo)"] },
  ];
  let cy = 1.52;
  embData.forEach(d => {
    s.addText(d.sub, { x: 5.0, y: cy, w: 4.55, h: 0.24, fontSize: 9, bold: true, color: C.red, charSpacing: 1, fontFace: "Calibri", margin: 0 });
    cy += 0.26;
    s.addText(buildBullets(d.items, { fontSize: 11.5, color: C.textDark, spacing: 3 }),
      { x: 5.0, y: cy, w: 4.55, h: 0.5 * d.items.length, margin: 0 });
    cy += 0.5 * d.items.length + 0.08;
  });

  // Treatment steps for embolism
  const txSteps = ["1. Stop insufflation", "2. Release pneumoperitoneum", "3. 100% oxygen", "4. Left lateral decubitus + head down (Durant's)", "5. Aspirate gas via CVP catheter", "6. CPR if required", "7. Vasopressors", "8. Hyperbaric O₂ (arterial embolism)"];
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 4.72, w: 9.4, h: 0.52, fill: { color: C.navy }, rectRadius: 0.08 });
  s.addText("TREATMENT: " + txSteps.join("  →  "), {
    x: 0.4, y: 4.74, w: 9.2, h: 0.46,
    fontSize: 9.5, color: C.gold, fontFace: "Calibri", bold: false, margin: 0
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 13 – WELL-LEG COMPARTMENT SYNDROME
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Well-Leg Compartment Syndrome");

  const panels = [
    {
      title: "RISK FACTORS", color: C.red,
      items: ["Prolonged surgery (lithotomy > 4–5 hrs)", "Steep Trendelenburg position", "Obesity", "Peripheral vascular disease", "Excessive padding pressure"]
    },
    {
      title: "FEATURES", color: "#2980B9",
      items: ["Severe calf / leg pain on awakening", "Tense, swollen calf", "Compartment pressures > 30 mmHg", "Rhabdomyolysis", "Myoglobinuria → Renal failure"]
    },
    {
      title: "PREVENTION & MANAGEMENT", color: C.green,
      items: ["Intermittent pneumatic compression stockings", "Adequate padding of pressure points", "Periodic repositioning of legs (if feasible)", "Avoid prolonged lithotomy", "Fasciotomy if compartment syndrome confirmed"]
    },
  ];

  panels.forEach((p, i) => {
    card(s, 0.22 + i * 3.25, 1.15, 3.05, 3.85, C.white);
    s.addShape(pres.ShapeType.rect, { x: 0.22 + i * 3.25, y: 1.15, w: 3.05, h: 0.33, fill: { color: p.color } });
    s.addText(p.title, { x: 0.27 + i * 3.25, y: 1.17, w: 2.9, h: 0.28, fontSize: 9.5, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
    s.addText(buildBullets(p.items, { fontSize: 12, color: C.textDark, spacing: 7 }),
      { x: 0.3 + i * 3.25, y: 1.52, w: 2.9, h: 3.4, margin: 0 });
  });

  // Alert callout
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 5.1, w: 9.4, h: 0.22, fill: { color: C.gold }, rectRadius: 0.05 });
  s.addText("⚠  Can occur POSTOPERATIVELY — remain vigilant for leg pain / swelling in recovery room", {
    x: 0.4, y: 5.1, w: 9.2, h: 0.22,
    fontSize: 9.5, bold: true, color: C.navy, fontFace: "Calibri", margin: 0
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 14 – SECTION DIVIDER: ANAESTHETIC MANAGEMENT
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  sectionDivider(s, 3, "Anaesthetic\nManagement");
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 15 – PREOP & INDUCTION
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Preoperative Assessment & Induction");

  const preop = [
    "Optimize cardiopulmonary status",
    "Correct hypovolemia before induction",
    "Aspiration prophylaxis (antacids, H₂ blockers)",
    "DVT prophylaxis – TED stockings / LMWH",
    "Counsel patient on position-related risks",
  ];
  const induction = [
    "General anaesthesia preferred",
    "Cuffed ETT – mandatory for airway protection",
    "Smooth intubation – avoid coughing / bucking",
    "Adequate muscle relaxation",
    "Gastric decompression – OG / NG tube",
    "Verify ETT position before insufflation",
  ];

  card(s, 0.3, 1.12, 4.4, 3.65, C.white);
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 1.12, w: 4.4, h: 0.33, fill: { color: C.teal } });
  s.addText("PREOPERATIVE", { x: 0.35, y: 1.14, w: 4.3, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(preop, { fontSize: 12.5, color: C.textDark, spacing: 8 }),
    { x: 0.4, y: 1.5, w: 4.2, h: 3.2, margin: 0 });

  card(s, 4.9, 1.12, 4.8, 3.65, "#EAF6F6");
  s.addShape(pres.ShapeType.rect, { x: 4.9, y: 1.12, w: 4.8, h: 0.33, fill: { color: C.navy } });
  s.addText("INDUCTION", { x: 4.95, y: 1.14, w: 4.65, h: 0.28, fontSize: 10, bold: true, color: C.gold, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(induction, { fontSize: 12.5, color: C.textDark, spacing: 8 }),
    { x: 5.0, y: 1.5, w: 4.55, h: 3.2, margin: 0 });

  // Airway note
  s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: 4.9, w: 9.4, h: 0.32, fill: { color: C.tealLight }, rectRadius: 0.06 });
  s.addText("AIRWAY: Cuffed ETT (preferred)  |  2nd-gen supraglottic airway acceptable for short, selected procedures in experienced hands", {
    x: 0.4, y: 4.9, w: 9.2, h: 0.3,
    fontSize: 9.5, color: C.navy, fontFace: "Calibri", bold: false, margin: 0
  });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 16 – MAINTENANCE & FLUID THERAPY
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.offWhite };
  titleBar(s, "Maintenance & Fluid Therapy");

  // Maintenance
  card(s, 0.3, 1.12, 4.5, 2.95, C.white);
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 1.12, w: 4.5, h: 0.33, fill: { color: C.teal } });
  s.addText("MAINTENANCE", { x: 0.35, y: 1.14, w: 4.4, h: 0.28, fontSize: 10, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  const maint = ["O₂ + air (avoid N₂O – risk of bowel distension)", "Volatile agent or TIVA (propofol infusion)", "Lung protective ventilation", "Maintain ETCO₂: 35–40 mmHg", "Maintain normothermia (forced-air warming)", "Neuromuscular monitoring – ensure full reversal"];
  s.addText(buildBullets(maint, { fontSize: 12, color: C.textDark, spacing: 6 }),
    { x: 0.4, y: 1.5, w: 4.3, h: 2.5, margin: 0 });

  // Fluid therapy
  card(s, 5.0, 1.12, 4.65, 2.95, "#EAF6F6");
  s.addShape(pres.ShapeType.rect, { x: 5.0, y: 1.12, w: 4.65, h: 0.33, fill: { color: C.navy } });
  s.addText("GOAL-DIRECTED FLUID THERAPY", { x: 5.05, y: 1.14, w: 4.5, h: 0.28, fontSize: 10, bold: true, color: C.gold, fontFace: "Calibri", margin: 0 });

  const fluidItems = [
    { label: "SVV", detail: "Stroke Volume Variation" },
    { label: "PPV", detail: "Pulse Pressure Variation" },
    { label: "SVO", detail: "Stroke Volume Optimization" },
  ];
  s.addText("Dynamic Parameters:", { x: 5.08, y: 1.52, w: 4.4, h: 0.28, fontSize: 11, bold: true, color: C.teal, fontFace: "Calibri", margin: 0 });
  fluidItems.forEach((item, i) => {
    const fy = 1.84 + i * 0.52;
    s.addShape(pres.ShapeType.roundRect, { x: 5.08, y: fy, w: 4.44, h: 0.44, fill: { color: C.white }, line: { color: C.teal, width: 0.8 }, rectRadius: 0.07 });
    s.addText([
      { text: item.label + "  ", options: { bold: true, color: C.navy, fontSize: 13, fontFace: "Calibri" } },
      { text: item.detail, options: { bold: false, color: C.textGrey, fontSize: 11, fontFace: "Calibri" } },
    ], { x: 5.14, y: fy + 0.04, w: 4.3, h: 0.36, margin: 0 });
  });

  // PONV prophylaxis
  card(s, 0.3, 4.18, 4.5, 1.02, "#FEF7E8");
  s.addShape(pres.ShapeType.rect, { x: 0.3, y: 4.18, w: 4.5, h: 0.28, fill: { color: C.gold } });
  s.addText("PONV PROPHYLAXIS", { x: 0.35, y: 4.19, w: 4.4, h: 0.24, fontSize: 9.5, bold: true, color: C.navy, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(["Dexamethasone 4–8 mg after induction", "Ondansetron 4 mg before extubation", "Consider multimodal prophylaxis"], { fontSize: 11, color: C.textDark, spacing: 2 }),
    { x: 0.4, y: 4.48, w: 4.3, h: 0.68, margin: 0 });

  // Analgesia
  card(s, 5.0, 4.18, 4.65, 1.02, "#F3EEF9");
  s.addShape(pres.ShapeType.rect, { x: 5.0, y: 4.18, w: 4.65, h: 0.28, fill: { color: "#7B5EA7" } });
  s.addText("POSTOPERATIVE ANALGESIA", { x: 5.05, y: 4.19, w: 4.55, h: 0.24, fontSize: 9.5, bold: true, color: C.white, fontFace: "Calibri", margin: 0 });
  s.addText(buildBullets(["Intraperitoneal LA", "TAP block", "NSAIDs + Paracetamol + Low-dose opioids", "Epidural for major procedures"], { fontSize: 11, color: C.textDark, spacing: 2 }),
    { x: 5.08, y: 4.48, w: 4.48, h: 0.68, margin: 0 });

  footerLine(s);
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 17 – RECENT GUIDELINE UPDATES / VIVA POINTS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.navy };

  // Gold title bar
  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 10, h: 0.85, fill: { color: C.gold } });
  s.addText("RECENT GUIDELINE UPDATES  –  VIVA POINTS", {
    x: 0.35, y: 0.1, w: 9.3, h: 0.65,
    fontSize: 16, bold: true, color: C.navy, fontFace: "Calibri", margin: 0
  });

  const vivaPoints = [
    { num: "01", point: "LOW-PRESSURE PNEUMOPERITONEUM", detail: "8–12 mmHg whenever surgical exposure permits. Reduces pain and cardiopulmonary effects." },
    { num: "02", point: "LUNG-PROTECTIVE VENTILATION", detail: "TV 6–8 mL/kg IBW + PEEP 5–10 cmH₂O. Reduces atelectasis and barotrauma." },
    { num: "03", point: "GOAL-DIRECTED FLUID THERAPY", detail: "Prefer dynamic parameters (SVV, PPV). Avoids both hypovolemia and fluid overload." },
    { num: "04", point: "NEUROMUSCULAR MONITORING", detail: "Quantitative TOF monitoring. Complete reversal (TOF ratio ≥ 0.9) before extubation." },
    { num: "05", point: "MULTIMODAL ANALGESIA (ERAS)", detail: "Intraperitoneal LA + TAP block + NSAIDs + paracetamol ± low-dose opioids." },
    { num: "06", point: "VTE PROPHYLAXIS", detail: "Risk-based: mechanical (IPC) ± pharmacological (LMWH) as per patient risk score." },
  ];

  vivaPoints.forEach((v, i) => {
    const row = Math.floor(i / 2);
    const col = i % 2;
    const bx = 0.25 + col * 5.0;
    const by = 1.0 + row * 1.52;
    s.addShape(pres.ShapeType.roundRect, { x: bx, y: by, w: 4.7, h: 1.38, fill: { color: C.cardBg }, line: { color: C.teal, width: 1 }, rectRadius: 0.1 });
    s.addText(v.num, { x: bx + 0.1, y: by + 0.08, w: 0.5, h: 0.5, fontSize: 18, bold: true, color: C.teal, fontFace: "Calibri", margin: 0 });
    s.addText(v.point, { x: bx + 0.65, y: by + 0.08, w: 3.9, h: 0.38, fontSize: 11, bold: true, color: C.gold, fontFace: "Calibri", margin: 0 });
    s.addText(v.detail, { x: bx + 0.65, y: by + 0.5, w: 3.9, h: 0.8, fontSize: 10.5, color: C.offWhite, fontFace: "Calibri", margin: 0 });
  });

  footerLine(s, "MD Anaesthesiology  |  Guideline-Based Viva Points  |  Laparoscopic Anaesthesia");
}

// ══════════════════════════════════════════════════════════════════════════════
// SLIDE 18 – SUMMARY & KEY TAKE-AWAYS
// ══════════════════════════════════════════════════════════════════════════════
{
  const s = pres.addSlide();
  s.background = { color: C.navy };

  s.addShape(pres.ShapeType.rect, { x: 0, y: 0, w: 10, h: 0.85, fill: { color: C.teal } });
  s.addText("SUMMARY  –  KEY TAKE-AWAYS", {
    x: 0.35, y: 0.1, w: 9.3, h: 0.65,
    fontSize: 18, bold: true, color: C.white, fontFace: "Calibri", margin: 0
  });

  const takes = [
    "CO₂ pneumoperitoneum causes multisystem physiological changes – cardiovascular, respiratory, renal, CNS & ocular.",
    "Always monitor ETCO₂: ↑ suggests absorption/emphysema/capnothorax; sudden ↓ suggests embolism or cardiac arrest.",
    "Ventilate lung-protectively (TV 6–8 mL/kg, PEEP 5–10) and increase MV by 10–25% to offset CO₂ load.",
    "CO₂ embolism: stop gas, 100% O₂, Durant's manoeuvre, CVP aspiration, TEE for diagnosis.",
    "Subcutaneous emphysema → ↑ ETCO₂ + crepitus – reduce pressure, hyperventilate, evaluate airway before extubation.",
    "Goal-directed fluid therapy, NM monitoring, and multimodal PONV/analgesia are standard-of-care (ERAS).",
    "Watch for position-related complications: well-leg compartment syndrome, nerve injuries, retinal ischemia.",
  ];

  takes.forEach((t, i) => {
    const by = 0.98 + i * 0.64;
    s.addShape(pres.ShapeType.roundRect, { x: 0.3, y: by, w: 9.4, h: 0.56, fill: { color: C.cardBg }, line: { color: C.teal, width: 0.8 }, rectRadius: 0.08 });
    s.addText([
      { text: String(i + 1).padStart(2, "0") + "  ", options: { bold: true, color: C.gold, fontSize: 12, fontFace: "Calibri" } },
      { text: t, options: { bold: false, color: C.offWhite, fontSize: 10.5, fontFace: "Calibri" } },
    ], { x: 0.4, y: by + 0.05, w: 9.2, h: 0.46, margin: 0 });
  });

  footerLine(s, "MD Anaesthesiology  |  Laparoscopic Surgery – Anaesthetic Considerations  |  Summary");
}

// ══════════════════════════════════════════════════════════════════════════════
// WRITE FILE
// ══════════════════════════════════════════════════════════════════════════════
const outputPath = "/home/daytona/workspace/laparoscopic-anaesthesia/Laparoscopic_Anaesthesia_MDAnaesthesiology.pptx";
pres.writeFile({ fileName: outputPath }).then(() => {
  console.log("DONE: " + outputPath);
}).catch(err => {
  console.error("ERROR:", err);
  process.exit(1);
});

cd /home/daytona/workspace/laparoscopic-anaesthesia && node build.js 2>&1

ls -lh /home/daytona/workspace/laparoscopic-anaesthesia/Laparoscopic_Anaesthesia…

libreoffice --headless --convert-to pdf --outdir /home/daytona/workspace/laparos…

mkdir -p /home/daytona/workspace/laparoscopic-anaesthesia/output && libreoffice …

cp /home/daytona/workspace/laparoscopic-anaesthesia/Laparoscopic_Anaesthesia_MDA…

cp /tmp/lap.pdf /home/daytona/workspace/laparoscopic-anaesthesia/Laparoscopic_An…