EVOLUTION-NINJA

Edit File: EpiDetails.php

<?php
namespace App\Controllers\obstetrics;
use App\Controllers\BaseController;
use App\Models\addPatientModel;

use App\Models\obstetrics_EpiduralModel;
use App\Models\MasterListModel;
use App\Models\obstetrics_SpinalModel;
use App\Models\obstetrics_PreopModel;
use App\Models\obstetrics_PostopModel;
use App\Models\obstetrics_followupModel;
use App\Models\obstetrics_combinedSpinalEpiduralModel;
use App\Models\obstetrics_CSA_Model;
use App\Models\obstetrics_manuaFeedbackModel;
use App\Models\obstetrics_EFeedbackModel;
use App\Models\obstetrics_e_consentModel;

class EpiDetails extends BaseController
{
    public function index()
    {
        $dr_id = session()->get('dr_id');

if($dr_id){
            $epi_id = $this->request->getVar('id');
            $id = session()->get('id');
            $calc=[];
            $model = new addPatientModel();
            $model->where('dr_id',$dr_id);
            $model->orderBy('id','DESC');
            $details1  = $model->get()->getResultArray();
            $data['patient'] = $details1;
            $det = $model->where('id',$id)->first();
            $data['focus'] = $det;
            
            $model1 = new obstetrics_EpiduralModel(); 
            $detail = $model1->where('dr_id',$dr_id)->where('id',$epi_id)->first();
            $data['info'] = $detail;

$s = $detail['needle_brand'];
            if($s == 'Other'){
                $ss = (array)$s;
                $data['n_brand'] = $ss;
            }

$t = $detail['needle_type'];
            if($t == 'Other'){
                $tt = (array)$t;
                $data['n_type'] = $tt;
            }

$cas = $detail['technique'];
            if($cas == 'Catheter'){
                $cast = (array)$cas;
                $data['cath'] = $cast;
            }
            $r = $detail['tc_other'];
            if($r == 'No'){
                $rr = (array)$r;
                $data['t_other'] = $rr;
            }
            $p = $detail['ac_other'];
            if($p == 'No'){
                $pp = (array)$p;
                $data['a_other'] = $pp;
            }
            $q = $detail['success_status'];
            $qq = (array)$q;
            $data['s_stat'] = $qq;
            
            $model = new MasterListModel();        
            $model->where('master_type_name','Epidural Needle Brand')->orderBy('id','ASC');
            $details  = $model->get()->getResultArray();
            $data['epidural_needle_brand'] = $details;

$model = new MasterListModel();        
            $model->where('master_type_name','Epidural Needle Type')->orderBy('id','ASC');
            $details  = $model->get()->getResultArray();
            $data['epidural_needle_type'] = $details;
        
            $dmf=['j,k,l'];
            $data['procs'] = $dmf;
            
            $model1 = new obstetrics_PreopModel();
            $detail1 = $model1->where('dr_id',$dr_id)->where('patient_id',$id)->first();
            $data['preo'] = $detail1;

$model2 = new obstetrics_PostopModel();
            $detail2 = $model2->where('dr_id',$dr_id)->where('patient_id',$id)->first();
            $data['posto'] = $detail2;

$model3 = new obstetrics_followupModel();
            $detail3 = $model3->where('dr_id',$dr_id)->where('patient_id',$id)->first();
            $data['follo'] = $detail3;

$epiModel = new obstetrics_EpiduralModel();
            $data6  = $epiModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();

$spinModel = new obstetrics_SpinalModel();
            $data7  = $spinModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();

$cseModel = new obstetrics_combinedSpinalEpiduralModel();
            $data8  = $cseModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();

$csaModel = new obstetrics_CSA_Model();
            $data9  = $csaModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();

if($data6 || $data7 || $data8 || $data9){
                $sin=['1,12,23'];
                $data['proccheck'] = $sin;
            }
            $Model = new obstetrics_EFeedbackModel();
            $data1  = $Model->where('dr_id',$dr_id)->where('patient_id',$id)->where('submission',1)->first();

$Models = new obstetrics_manuaFeedbackModel();
            $data4  = $Models->where('dr_id',$dr_id)->where('patient_id',$id)->where('flag',1)->first();
            
            if($data1 || $data4){
                $sins=['1,5,10'];
                $data['feedcheck'] = $sins;
            }

$patient_Model = new addPatientModel();
            $patient_Model->orderBy('id','DESC');
            $patient_Model->where('dr_id',$dr_id);  
            $patient_Model->select('id, rad_id');
            $patient_Model->like('upload_patient_status',1);
            $dat1 = $patient_Model->get()->getResultArray();
            // if($dat1){
                $data['old_check'] = $dat1;
            // }
            
            $models = new obstetrics_e_consentModel(); 
            $data12 = $models->where('dr_id',$dr_id)->where('patient_id',$id)->first();
            $data['ecocheck'] = $data12;

foreach($details1 as $key=>$val){
                $id = ($val['id']);
                $data5  = $cseModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data6  = $epiModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data7  = $spinModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data8  = $csaModel->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                if($data5 || $data6 || $data7 || $data8){
                    $data9 = ['a','b','c'];
                }
                $data10  = $Models->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data11  = $Model->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                if($data10 || $data11){
                    $data12 = ['A','B','C'];
                }
                $data1  = $models->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data2  = $model1->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data3  = $model2->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                $data4  = $model3->where('dr_id',$dr_id)->where('patient_id',$id)->first();
                if($data1 && $data2 && $data3 && $data4 && $data9 && $data12){
                    $datas['id'] = $id;
                    array_push($calc,$datas);
                }
            }
            $data['allcheck'] = $calc;
            
            return view('obstetrics/epidetails',$data);
        }else{
            return view('login');
        }
    }
    
    public function edit_epidu(){

$id = $this->request->getVar('id');
        
        $radiovalue = $this->request->getVar('optradio');
        if($radiovalue == 'Sedation'){
            $sedation_if = $this->request->getVar('sedation_if');
            $patient_status = $radiovalue.' -> '.$sedation_if;
        }else{
            $patient_status = $this->request->getVar('optradio');
        }
        $patient_pos = $this->request->getVar('patient_pos');
        $wearing_mask = $this->request->getVar('wearing_mask');
        $hand_washing = $this->request->getVar('hand_washing'); 
        $sterile_gown = $this->request->getVar('sterile_gown');
        $sterile_draping = $this->request->getVar('sterile_draping');
        $skin_prep = $this->request->getVar('skin_prep');
        $anatomical_landmark = $this->request->getVar('anatomical_landmark');
        $epidural = $this->request->getVar('epidural_level');
        $epidural_level_name = $this->request->getVar('epidural_type');
        $ultra_sound = $this->request->getVar('ultra_sound');
        $probe_cover = $this->request->getVar('probe_cover');
        $image_quality = $this->request->getVar('image_quality');
        $needle_brand = $this->request->getVar('needle_brand');
        $Other1 = $this->request->getVar('Other1');
        $needle_type = $this->request->getVar('needle_type');
        $other6 = $this->request->getVar('other6');
        $needle_size = $this->request->getVar('needle_size');
        $lor_saline = $this->request->getVar('lor_saline');
        $lor_air = $this->request->getVar('lor_air');
        $hanging_drop = $this->request->getVar('hanging_drop');
        $others1 = $this->request->getVar('others[]');
        $others = implode($others1, " - ");
        $approach = $this->request->getVar('approach');
        $no_attempts = $this->request->getVar('no_attempts');
        $epidral_depth = $this->request->getVar('epidral_depth');
        $technique = $this->request->getVar('optradio1');
        $cath_mark = $this->request->getVar('cath_mark');
        $test_dose = $this->request->getVar('test_dose');
        $la_regimen = $this->request->getVar('la_regimen');
        $ropivacaine = $this->request->getVar('ropivacaine');
        $ropi_per = $this->request->getVar('ropi_per');
        $ropi_ml = $this->request->getVar('ropi_ml');
        $ropi_mg = $this->request->getVar('ropi_mg');
        $la_ropivacaine = $ropivacaine.','.$ropi_per.','.$ropi_ml.','.$ropi_mg;
        $bupivacaine = $this->request->getVar('bupivacaine');
        $bupi_per = $this->request->getVar('bupi_per');
        $bupi_ml = $this->request->getVar('bupi_ml');
        $bupi_mg = $this->request->getVar('bupi_mg');
        $la_bupivacaine = $bupivacaine.','.$bupi_per.','.$bupi_ml.','.$bupi_mg;
        $levobupivacaine = $this->request->getVar('levobupivacaine');
        $levo_per = $this->request->getVar('levo_per');
        $levo_ml = $this->request->getVar('levo_ml');
        $levo_mg = $this->request->getVar('levo_mg');
        $la_levobupivacaine = $levobupivacaine.','.$levo_per.','.$levo_ml.','.$levo_mg;
        $Lignocaine = $this->request->getVar('Lignocaine');
        $ligno_per = $this->request->getVar('ligno_per');
        $ligno_ml = $this->request->getVar('ligno_ml');
        $ligno_mg = $this->request->getVar('ligno_mg');
        $la_lignocaine = $Lignocaine.','.$ligno_per.','.$ligno_ml.','.$ligno_mg;
        $opioid_n = $this->request->getVar('opioid_name[]');
        $opioid_name = implode($opioid_n, ",");
        $opioid_d = $this->request->getVar('opioid_dose[]');
        $opioid_dose = implode($opioid_d, ",");
        $clonidne = $this->request->getVar('clonidne');
        $dexmeditomidine = $this->request->getVar('dexmeditomidine');
        $dexamethasone = $this->request->getVar('dexamethasone');
        $tramadol = $this->request->getVar('tramadol');
        $ketamin = $this->request->getVar('ketamin');
        $midazolam = $this->request->getVar('midazolam');
        $Other7 = $this->request->getVar('Other7');
        $aj_n = $this->request->getVar('aj_name[]');
        $aj_name = implode($aj_n, ",");
        $aj_d = $this->request->getVar('aj_dose[]');
        $aj_dose = implode($aj_d, ",");
        $analgesia_none = $this->request->getVar('analgesia_none');
        $in_analgesia = $this->request->getVar('in_analgesia');
        $asr_iv_analgesia = $this->request->getVar('asr_iv_analgesia');
        $Opioids = $this->request->getVar('Opioids');
        $asr_opioid_n = $this->request->getVar('asr_opioid_name[]');
        $asr_opioid_name = implode($asr_opioid_n, ",");
        $asr_opioid_d = $this->request->getVar('asr_opioid_dose[]');
        $asr_opioid_dose = implode($asr_opioid_d, ",");
        $asr_multimode = $this->request->getVar('asr_multimode');
        $Ketamine1 = $this->request->getVar('Ketamine1');
        // $Dexmedeto = $this->request->getVar('Dexmedeto');
        // $Cloni = $this->request->getVar('Cloni');
        // $Trama = $this->request->getVar('Trama');
        // $Magnes = $this->request->getVar('Magnes');
        $asr_other_iv_name = $this->request->getVar('asr_other_iv_name');
        $asr_other_iv_dose = $this->request->getVar('asr_other_iv_dose');
        $tc_equipment = $this->request->getVar('tc_equipment');
        $tc_multiple = $this->request->getVar('tc_multiple');
        $tc_2_anaestsetist = $this->request->getVar('tc_2_anaestsetist');
        $tc_abondoned = $this->request->getVar('tc_abondoned');
        $tc_catheter = $this->request->getVar('tc_catheter');
        $tc_other = $this->request->getVar('tc_other');
        $other4 = $this->request->getVar('other4');
        $tc_none = $this->request->getVar('tc_none');
        // $ac_ep_resited = $this->request->getVar('ac_ep_resited');
        $ac_last = $this->request->getVar('ac_last');
        $ac_re_arrest = $this->request->getVar('ac_re_arrest');
        $ac_ca_arrest = $this->request->getVar('ac_ca_arrest');
        $ac_radi_pain = $this->request->getVar('ac_radi_pain');
        $ac_parestsesia = $this->request->getVar('ac_parestsesia');
        $ac_bloody_tap = $this->request->getVar('ac_bloody_tap');
        $ac_intra_cath = $this->request->getVar('ac_intra_cath');
        // $ac_wet_tap = $this->request->getVar('ac_wet_tap');
        $ac_hypoten = $this->request->getVar('ac_hypoten');
        $ac_nausea = $this->request->getVar('ac_nausea');
        $ac_vomit = $this->request->getVar('ac_vomit');
        $ac_high_block = $this->request->getVar('ac_high_block');
        $ac_sb_block = $this->request->getVar('ac_sb_block');
        // $ac_motor_block = $this->request->getVar('ac_motor_block');
        $ac_total_spinal = $this->request->getVar('ac_total_spinal');
        // $ac_adp = $this->request->getVar('ac_adp');
        $ac_other = $this->request->getVar('ac_other');
        $other5 = $this->request->getVar('other5');
        $ac_none = $this->request->getVar('ac_none');
        $success_status = $this->request->getVar('optradio2');
        if($success_status == 'Complete Success'){
            $onset = $this->request->getVar('comp1');
        }elseif($success_status == 'Partial Success'){
            $onset = $this->request->getVar('part');
        }else{
            $onset = '';
        }
        $motor_level = $this->request->getVar('motor_level');
        $surgical_anaesthesia = $this->request->getVar('surgical_anaesthesia');
        $surgery_duration = $this->request->getVar('surgery_duration');
        $blood_loss = $this->request->getVar('blood_loss');
        $vasopressor_use = $this->request->getVar('vasopressor_use');

date_default_timezone_set('Asia/Kolkata');
        $updated_at = date('d-m-Y H:i:s', time());

$final1 = $this->request->getVar('final1');
        if($final1 != ',,,'){
            $sl_cold_l = $this->request->getVar('final1');
        }else{
            $sl_cold_l ='';
        }

$final2 = $this->request->getVar('final2');
        if($final2 != ',,,'){
            $sl_cold_r = $this->request->getVar('final2');
        }else{
            $sl_cold_r ='';
        }

$final3 = $this->request->getVar('final3');
        if($final3 != ',,,'){
            $sl_touch_l = $this->request->getVar('final3');
        }else{
            $sl_touch_l ='';
        }
        $final4 = $this->request->getVar('final4');
        if($final4 != ',,,'){
            $sl_touch_r = $this->request->getVar('final4');
        }else{
            $sl_touch_r ='';
        }
        $final5 = $this->request->getVar('final5');
        if($final5 != ',,,'){
            $sl_pinpriek_l = $this->request->getVar('final5');
        }else{
            $sl_pinpriek_l ='';
        }
        $final6 = $this->request->getVar('final6');
        if($final6 != ',,,'){
            $sl_pinpriek_r = $this->request->getVar('final6');
        }else{
            $sl_pinpriek_r ='';
        }

$date = $this->request->getVar('date_m');
        $time = $this->request->getVar('time_m');
        $cnb_done_by1 = $this->request->getVar('cnb_done_by1');
        $cnb_done_by2 = $this->request->getVar('cnb_done_by2');
        $supervision = $this->request->getVar('supervision');
        // print_r($supervision);die();
        $date1 = str_replace('/', '-', $date);      
        
        $drname = session()->get('name');
        $dr_id = session()->get('dr_id');

$epidural_in_situ = $this->request->getVar('epidural_in_situ');

if($epidural_in_situ == 'No'){

$epiduData = array(

'epidural_in_situ'=>$epidural_in_situ,

'patient_status'=> $patient_status,
                'procedure_date'=>date('Y-m-d',strtotime($date1)),
                'time'=>$time,
                'cnb1'=>$cnb_done_by1,
                'cnb2'=>$cnb_done_by2,
                'supervision'=>$supervision,
                'patient_position'=> $patient_pos, //optional
                'wearing_mask'=>$wearing_mask,
                'hand_washing'=>$hand_washing,
                'sterile_gown'=> $sterile_gown,
                'sterile_draping'=> $sterile_draping,
                'skin_prepartion'=> $skin_prep,
                'anatomical_landmark' => $anatomical_landmark,
                'epedural_level'=> $epidural,
                'epidural_level_name'=> $epidural_level_name,
                'ultrasound'=> $ultra_sound,          
                'probe_cover'=> $probe_cover, //optional
                'image_quality'=> $image_quality, //optional
                'needle_brand'=> $needle_brand,
                'other4'=> $Other1,  //optional
                'needle_type'=>$needle_type,  
                'other6'=> $other6,  //optional
                'needle_size'=> $needle_size,
                'lor_saline'=> $lor_saline,
                'lor_air'=> $lor_air,
                'hanging_drop'=> $hanging_drop,
                'others'=> $others,
                'approach'=>$approach,  
                'no_attempts'=> $no_attempts, 
                'epidral_depth'=> $epidral_depth,
                'technique'=> $technique,
                'cath_mark'=> $cath_mark,
                'test_dose'=> $test_dose,
                'la_regimen'=> $la_regimen,
                'la_ropivacaine'=> $la_ropivacaine,
                'la_bupivacaine'=> $la_bupivacaine,
                'la_levobupivacaine'=> $la_levobupivacaine,
                'la_lignocaine'=> $la_lignocaine,    
                'opioid_name'=> $opioid_name,
                'opioid_dose'=>$opioid_dose,  
                'clonidina_dose'=> $clonidne, 
                'dexmeditomidine_dose'=> $dexmeditomidine,
                'dexamephasone_dose'=> $dexamethasone,
                'tramadol_dose'=> $tramadol,
                'kepamine_dose'=> $ketamin,
                'midazolam_dose'=> $midazolam,
                'other7'=> $Other7,
                'aj_name'=> $aj_name,
                'aj_dose'=> $aj_dose,
                'analgesia_none'=> $analgesia_none,
                'in_analgesia'=> $in_analgesia,    
                'asr_iv_analgesia'=>$asr_iv_analgesia, 
                'opioids'=>$Opioids, 
                'asr_opioid_name'=> $asr_opioid_name,  
                'asr_opioid_dose'=> $asr_opioid_dose,
                'asr_multimode'=> $asr_multimode,
                'asr_ketamine'=> $Ketamine1,
                // 'asr_dexmedetomidine'=> $Dexmedeto,
                // 'asr_clonidine'=> $Cloni,
                // 'asr_tramadol'=>$Trama,  
                // 'asr_magnesium'=> $Magnes, 
                'asr_other_iv_name'=> $asr_other_iv_name,
                'asr_other_iv_dose'=> $asr_other_iv_dose,
                'tc_equipment'=> $tc_equipment,
                'tc_multiple'=> $tc_multiple,
                'tc_2_anaestsetist'=> $tc_2_anaestsetist,
                'tc_abondoned'=> $tc_abondoned,
                'tc_catheter'=> $tc_catheter,
                'tc_other'=> $tc_other,
                'other5'=> $other4,
                'complication_none'=> $tc_none,
                // 'ac_ep_resited'=> $ac_ep_resited,    
                'ac_last'=>$ac_last,  
                'ac_re_arrest'=> $ac_re_arrest, 
                'ac_ca_arrest'=> $ac_ca_arrest,
                'ac_radi_pain'=> $ac_radi_pain,
                'ac_parestsesia'=> $ac_parestsesia,
                'ac_bloody_tap'=> $ac_bloody_tap,
                'ac_intra_cath'=> $ac_intra_cath,
                // 'ac_wet_tap'=> $ac_wet_tap,
                'ac_hypoten'=> $ac_hypoten,
                'ac_nausea'=> $ac_nausea,
                'ac_vomit'=> $ac_vomit,
                'ac_high_block'=> $ac_high_block,
                'ac_sb_block'=> $ac_sb_block,
                // 'ac_motor_block'=> $ac_motor_block,
                'ac_totla_spinal'=> $ac_total_spinal,
                // 'ac_adp'=> $ac_other,
                'ac_other'=> $ac_other,
                'other2'=> $other5,
                'ac_none'=> $ac_none,
                'success_status'=> $success_status,
                'onset'=> $onset,
                'motor_level'=> $motor_level,
                'surgical_anaesthesia'=> $surgical_anaesthesia,
                'surgery_duration'=> $surgery_duration,
                'blood_loss'=> $blood_loss,
                'vasopressor_use'=> $vasopressor_use,
                'updated_by'=>$drname,
                'updated_at'=>$updated_at,
                'sl_cold_l'=>$sl_cold_l,
                'sl_cold_r'=>$sl_cold_r,             
                'sl_touch_l'=>$sl_touch_l,             
                'sl_touch_r'=>$sl_touch_r,             
                'sl_pinpriek_l'=>$sl_pinpriek_l,             
                'sl_pinpriek_r'=>$sl_pinpriek_r             
            );

}else{

$epiduData = array(

'epidural_in_situ'=>$epidural_in_situ,

'patient_status'=>'',
                'patient_position'=>'', //optional
                'wearing_mask'=>'',
                'hand_washing'=>'',
                'sterile_gown'=> '',
                'sterile_draping'=>'',
                'skin_prepartion'=>'',
                'anatomical_landmark' =>'',
                'epedural_level'=>'',
                'epidural_level_name'=>'',
                'ultrasound'=>'',          
                'probe_cover'=>'', //optional
                'image_quality'=>'', //optional
                'needle_brand'=>'',
                'other4'=>'',  //optional
                'needle_type'=>'',  
                'other6'=>'',  //optional
                'needle_size'=>'',
                'lor_saline'=>'',
                'lor_air'=>'',
                'hanging_drop'=>'',
                'others'=>'',
                'approach'=>'',  
                'no_attempts'=>'', 
                'epidral_depth'=>'',
                'technique'=>'',
                'cath_mark'=>'',
                'test_dose'=>'',
                'la_regimen'=>'',
                'procedure_date'=>date('Y-m-d',strtotime($date1)),
                'time'=>$time,
                'cnb1'=>$cnb_done_by1,
                'cnb2'=>$cnb_done_by2,
                'supervision'=>$supervision,
                'la_ropivacaine'=> $la_ropivacaine,
                'la_bupivacaine'=> $la_bupivacaine,
                'la_levobupivacaine'=> $la_levobupivacaine,
                'la_lignocaine'=> $la_lignocaine,   
                'opioid_name'=> $opioid_name,
                'opioid_dose'=>$opioid_dose,  
                'clonidina_dose'=> $clonidne, 
                'dexmeditomidine_dose'=> $dexmeditomidine,
                'dexamephasone_dose'=> $dexamethasone,
                'tramadol_dose'=> $tramadol,
                'kepamine_dose'=> $ketamin,
                'midazolam_dose'=> $midazolam,
                'other7'=> $Other7,
                'aj_name'=> $aj_name,
                'aj_dose'=> $aj_dose,
                'analgesia_none'=> $analgesia_none,
                'in_analgesia'=> $in_analgesia,    
                'asr_iv_analgesia'=>$asr_iv_analgesia, 
                'opioids'=>$Opioids, 
                'asr_opioid_name'=> $asr_opioid_name,  
                'asr_opioid_dose'=> $asr_opioid_dose,
                'asr_multimode'=> $asr_multimode,
                'asr_ketamine'=> $Ketamine1,
                // 'asr_dexmedetomidine'=> $Dexmedeto,
                // 'asr_clonidine'=> $Cloni,
                // 'asr_tramadol'=>$Trama,  
                // 'asr_magnesium'=> $Magnes, 
                'asr_other_iv_name'=> $asr_other_iv_name,
                'asr_other_iv_dose'=> $asr_other_iv_dose,               
                'tc_equipment'=> $tc_equipment,
                'tc_multiple'=> $tc_multiple,
                'tc_2_anaestsetist'=> $tc_2_anaestsetist,
                'tc_abondoned'=> $tc_abondoned,
                'tc_catheter'=> $tc_catheter,
                'tc_other'=> $tc_other,
                'other5'=> $other4,
                'complication_none'=> $tc_none,
                // 'ac_ep_resited'=> $ac_ep_resited,    
                'ac_last'=>$ac_last,  
                'ac_re_arrest'=> $ac_re_arrest, 
                'ac_ca_arrest'=> $ac_ca_arrest,
                'ac_radi_pain'=> $ac_radi_pain,
                'ac_parestsesia'=> $ac_parestsesia,
                'ac_bloody_tap'=> $ac_bloody_tap,
                'ac_intra_cath'=> $ac_intra_cath,
                // 'ac_wet_tap'=> $ac_wet_tap,
                'ac_hypoten'=> $ac_hypoten,
                'ac_nausea'=> $ac_nausea,
                'ac_vomit'=> $ac_vomit,
                'ac_high_block'=> $ac_high_block,
                'ac_sb_block'=> $ac_sb_block,
                // 'ac_motor_block'=> $ac_motor_block,
                'ac_totla_spinal'=> $ac_total_spinal,
                // 'ac_adp'=> $ac_other,
                'ac_other'=> $ac_other,
                'other2'=> $other5,
                'ac_none'=> $ac_none,    
                'success_status'=> $success_status,
                'onset'=> $onset,
                'motor_level'=> $motor_level,
                'surgical_anaesthesia'=> $surgical_anaesthesia,                
                'surgery_duration'=> $surgery_duration,
                'blood_loss'=> $blood_loss,
                'vasopressor_use'=> $vasopressor_use,
                'updated_by'=>$drname,
                'updated_at'=>$updated_at,                
                'sl_cold_l'=>$sl_cold_l,
                'sl_cold_r'=>$sl_cold_r,             
                'sl_touch_l'=>$sl_touch_l,             
                'sl_touch_r'=>$sl_touch_r,             
                'sl_pinpriek_l'=>$sl_pinpriek_l,             
                'sl_pinpriek_r'=>$sl_pinpriek_r
            );

}

// $epiduData = array(

//     'patient_status'=> $patient_status,
        //     'procedure_date'=>date('Y-m-d',strtotime($date1)),
        //     'time'=>$time,
        //     'cnb1'=>$cnb_done_by1,
        //     'cnb2'=>$cnb_done_by2,
        //     'supervision'=>$supervision,

//     'patient_position'=> $patient_pos, //optional
        //     'wearing_mask'=>$wearing_mask,
        //     'hand_washing'=>$hand_washing,
        //     'sterile_gown'=> $sterile_gown,
        //     'sterile_draping'=> $sterile_draping,
        //     'skin_prepartion'=> $skin_prep,
        //     'anatomical_landmark' => $anatomical_landmark,
        //     'epedural_level'=> $epidural,
        //     'epidural_level_name'=> $epidural_level_name,
        //     'ultrasound'=> $ultra_sound,          
        //     'probe_cover'=> $probe_cover, //optional
        //     'image_quality'=> $image_quality, //optional
        //     'needle_brand'=> $needle_brand,
        //     'other4'=> $Other1,  //optional
        //     'needle_type'=>$needle_type,  
        //     'other6'=> $other6,  //optional

//     'needle_size'=> $needle_size,
        //     'lor_saline'=> $lor_saline,
        //     'lor_air'=> $lor_air,
        //     'hanging_drop'=> $hanging_drop,
        //     'others'=> $others,
        //     'approach'=>$approach,  
        //     'no_attempts'=> $no_attempts, 
        //     'epidral_depth'=> $epidral_depth,
        //     'technique'=> $technique,
        //     'cath_mark'=> $cath_mark,
        //     'test_dose'=> $test_dose,
        //     'la_regimen'=> $la_regimen,

//     'la_ropivacaine'=> $la_ropivacaine,
        //     'la_bupivacaine'=> $la_bupivacaine,
        //     'la_levobupivacaine'=> $la_levobupivacaine,

//     'la_lignocaine'=> $la_lignocaine,
        //     'opioid_name'=> $opioid_name,
        //     'opioid_dose'=>$opioid_dose,  
        //     'clonidina_dose'=> $clonidne, 
        //     'dexmeditomidine_dose'=> $dexmeditomidine,
        //     'dexamephasone_dose'=> $dexamethasone,
        //     'tramadol_dose'=> $tramadol,
        //     'kepamine_dose'=> $ketamin,
        //     'midazolam_dose'=> $midazolam,
        //     'other7'=> $Other7,
        //     'aj_name'=> $aj_name,
        //     'aj_dose'=> $aj_dose,
        //     'analgesia_none'=> $analgesia_none,
        //     'in_analgesia'=> $in_analgesia,
        //     'asr_iv_analgesia'=>$asr_iv_analgesia, 
        //     'opioids'=>$Opioids, 
        //     'asr_opioid_name'=> $asr_opioid_name,  
        //     'asr_opioid_dose'=> $asr_opioid_dose,
        //     'asr_multimode'=> $asr_multimode,
        //     'asr_ketamine'=> $Ketamine1,

//     // 'asr_dexmedetomidine'=> $Dexmedeto,
        //     // 'asr_clonidine'=> $Cloni,
        //     // 'asr_tramadol'=>$Trama,  
        //     // 'asr_magnesium'=> $Magnes, 
        //     'asr_other_iv_name'=> $asr_other_iv_name,
        //     'asr_other_iv_dose'=> $asr_other_iv_dose,
        //     'tc_equipment'=> $tc_equipment,
        //     'tc_multiple'=> $tc_multiple,
        //     'tc_2_anaestsetist'=> $tc_2_anaestsetist,
        //     'tc_abondoned'=> $tc_abondoned,
        //     'tc_catheter'=> $tc_catheter,
        //     'tc_other'=> $tc_other,
        //     'other5'=> $other4,
        //     'complication_none'=> $tc_none,
        //     // 'ac_ep_resited'=> $ac_ep_resited,
        //     'ac_last'=>$ac_last,  
        //     'ac_re_arrest'=> $ac_re_arrest, 
        //     'ac_ca_arrest'=> $ac_ca_arrest,
        //     'ac_radi_pain'=> $ac_radi_pain,
        //     'ac_parestsesia'=> $ac_parestsesia,
        //     'ac_bloody_tap'=> $ac_bloody_tap,
        //     'ac_intra_cath'=> $ac_intra_cath,
        //     // 'ac_wet_tap'=> $ac_wet_tap,
        //     'ac_hypoten'=> $ac_hypoten,
        //     'ac_nausea'=> $ac_nausea,
        //     'ac_vomit'=> $ac_vomit,
        //     'ac_high_block'=> $ac_high_block,
        //     'ac_sb_block'=> $ac_sb_block,

//     // 'ac_motor_block'=> $ac_motor_block,
        //     'ac_totla_spinal'=> $ac_total_spinal,
        //     // 'ac_adp'=> $ac_other,
        //     'ac_other'=> $ac_other,
        //     'other2'=> $other5,
        //     'ac_none'=> $ac_none,
        //     'success_status'=> $success_status,
        //     'onset'=> $onset,
        //     'motor_level'=> $motor_level,
        //     'surgical_anaesthesia'=> $surgical_anaesthesia,
        //     'surgery_duration'=> $surgery_duration,
        //     'blood_loss'=> $blood_loss,
        //     'vasopressor_use'=> $vasopressor_use,
        //     'updated_by'=>$drname,
        //     'updated_at'=>$updated_at,
        //     'sl_cold_l'=>$sl_cold_l,
        //     'sl_cold_r'=>$sl_cold_r,             
        //     'sl_touch_l'=>$sl_touch_l,             
        //     'sl_touch_r'=>$sl_touch_r,             
        //     'sl_pinpriek_l'=>$sl_pinpriek_l,             
        //     'sl_pinpriek_r'=>$sl_pinpriek_r  
        // );
        $epiModel = new obstetrics_EpiduralModel(); 
        $epiModel->set($epiduData);
        $epiModel->where('id',$id);
        $epiModel->where('dr_id',$dr_id);
        $update = $epiModel->update();
        if($update){
            return json_encode(array(
                'result'    => 1,
                'message'   => 'Epidural data Updated Successfully.....'
                
            ));
       }
       else{
            return json_encode(array(
                 'result'    => 0,
                 'message'     => 'Something went wrong.....'
            ));
        }
    }
}
?>