Journal of clinical anesthesia
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The objective of this study was to evaluate the effectiveness of a modified Macintosh blade for reducing the chances of directly contacting the teeth and providing a satisfactory laryngoscopic view during laryngoscopies by novice laryngoscopists. ⋯ The modified Macintosh blade used in this study proved to be a useful device for training novice laryngoscopists with respect to procedure effectiveness and patient safety.
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We report a case of subdural hematoma in a 68-year-old white man who underwent left inguinal hernia repair with spinal anesthesia. The patient had a postdural puncture headache (PDPH) on postoperative day 4, but he refused invasive treatment. Instead, he self-administered acetaminophen, aspirin, and caffeine. ⋯ Immediate treatment of the PDPH with an epidural blood patch should be considered. If a patient refuses invasive treatment, he should be counseled for the possibility of subdural hematoma. The patient also should be advised to avoid medications with anticoagulant properties.