EVOLUTION-NINJA

Edit File: combined-spinal-view.php

<?php echo view('includes/header',$patient, $procs, $preo, $posto, $follo, $proccheck, $feedcheck, $ecocheck, $focus); ?> <!-- <script type="text/javascript" src="<?php echo base_url('assets/js/bootstrap.bundle.min.js'); ?>"></script> --> <br/> <section class="combined-spinal-view"> <div class="row"> <div class="col-sm-8"></div> <div class="col-sm-4"> <button type="button" class="btn-edit" data-toggle="modal" data-target="#edit-comb-spinal" style="margin:5px;">Edit</button> <!-- <button type="button" class="btn-close">Delete</button> --> </div> </div><!--row--> <div class="combined-spinal-cont"> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2">Patient status During Neuraxial Block</td> <td><?php echo $info['patient_status']; ?></td> </tr> <tr> <td class="bg-pat2">Patient Position</td> <td><?php echo $info['patient_position']; ?></td> </tr> <tr> <td class="bg-pat2">Asepsis</td> <td></td> </tr> <tr> <td class="bg-pat2">Wearing cap and mask</td> <td><?php echo $info['wearing_mask']; ?></td> </tr> <tr> <td class="bg-pat2">Hand washing</td> <td><?php echo $info['hand_washing']; ?></td> </tr> <tr> <td class="bg-pat2">Sterile gown</td> <td><?php echo $info['sterile_gown']; ?></td> </tr> <tr> <td class="bg-pat2">Sterile draping</td> <td><?php echo $info['sterile_draping']; ?></td> </tr> <tr> <td class="bg-pat2"></td> <td></td> </tr> <tr> <td class="bg-pat2">Skin Prep</td> <td><?php echo $info['skin_prepartion']; ?></td> </tr> </tbody> </table> </div> </div><!--combined-spinal-table1--> <div class="combined-spinal-card1"> <div class="card-header"> <h5><b>Combined Spinal Epidural</b></h5> </div> <div class="card-body"> <p><?php echo $info['cse_technique']; ?></p> </div> </div><!--combined-spinal-card1--> <h4 class="pt"><b>Epidural</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Anatomical Landmark</b></h5> </div> <div class="card-body"> <p><?php echo $info['anatomical_landmark']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Epidural Level</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Cervical</b></h5> </div> <div class="card-body"> <p><?php echo $info['epidural_level']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Ultra Sound</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <ul> <li><b>Probe Cover</b></li> <li><b>Image Quality</b></li> </ul> </div> <div class="card-body"> <ul> <li><span><?php echo $info['probe_cover']; ?></span></li> <li><span><?php echo $info['image_quality']; ?></span></li> </ul> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Needle Brand,Type and Size</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <ul> <li><b>Needle Brand</b></li> <li><b> Needle Type</b></li> <li><b> Needle Size</b></li> </ul> </div> <div class="card-body"> <ul><?php if($needle_other){ $xyz = $info['needle_brand']; $xy = explode(' - ',$xyz); ?> <li><span><?php echo $xy[1] ; ?></span></li> <?php }else{ ?> <li><span><?php echo $info['needle_brand']; ?></span></li> <?php }; ?> <?php if($needle_type){ $x = $info['needle_type']; $y = explode(' - ',$x); ?> <li><span><?php echo $y[1] ; ?></span></li> <?php }else{ ?> <li><span><?php echo $info['needle_type']; ?></span></li> <?php }; ?> <li><span><?php echo $info['needle_size']; ?></span></li> </ul> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Epidural Technique</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Epidural Technique</b></h5> </div> <div class="card-body"> <p><?php echo $info['lor_saline']; ?> - <?php echo $info['lor_air']; ?> - <?php echo $info['hanging_drop']; ?> - <?php echo $info['epidural_other']; ?> </p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Approach</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Approach</b></h5> </div> <div class="card-body"> <p><?php echo $info['approach']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Number of Attempts</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Number of Attempts</b></h5> </div> <div class="card-body"> <p><?php echo $info['no_attempts']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Epidural Depth(cm)</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Epidural Depth(cm)</b></h5> </div> <div class="card-body"> <p><?php echo $info['epidral_depth']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Epidural Technique</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <ul> <li><b>Epidural Technique</b></li> <li><b>Depth(cm)</b></li> <li><b>Technique</b></li> <li><b>Skin(cm)</b></li> </ul> </div> <div class="card-body"> <ul> <li><span>LOR Air</span></li> <li><span>06</span></li> <li><span>Catheter</span></li> <li><span>12</span></li> </ul> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Test Dose</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Intra Operative LA Regimen</b></h5> </div> <div class="card-body"> <p><?php echo $info['la_regimen']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Total Intra Operative LA & Adjuvant Consumption</b></h4> <div class="combined-spinal-table2"> <div class="table-responsive"> <table class="table"> <thead> <tr> <th>Solution</th> <th>Dosage(%)</th> <th>Dosage(ml)</th> <th>Dosage(mg)</th> </tr> </thead> <tbody> <tr><?php $la_ropiva = $info['la_ropivacaine']; $la_rop = explode(",",$la_ropiva); ?> <td>Ropivacaine - <?php echo $la_rop[0]; ?></td> <td><?php echo $la_rop[1]; ?></td> <td><?php echo $la_rop[2]; ?></td> <td><?php echo $la_rop[3]; ?></td> </tr> <tr><?php $la_bupiva = $info['la_bupivacaine']; $la_bupivaca = explode(",",$la_bupiva); ?> <td>Bupivacaine - <?php echo $la_bupivaca[0]; ?></td> <td><?php echo $la_bupivaca[1]; ?></td> <td><?php echo $la_bupivaca[2]; ?></td> <td><?php echo $la_bupivaca[3]; ?></td> </tr> <tr><?php $la_levobupi = $info['la_levobupivacaine']; $la_levobupiva = explode(",",$la_levobupi); ?> <td>Levobupivacaine - <?php echo $la_levobupiva[0]; ?></td> <td><?php echo $la_levobupiva[1]; ?></td> <td><?php echo $la_levobupiva[2]; ?></td> <td><?php echo $la_levobupiva[3]; ?></td> </tr> <tr><?php $la_ligno = $info['la_lignocaine']; $la_lignoca = explode(",",$la_ligno); ?> <td>Lignocaine - <?php echo $la_lignoca[0]; ?></td> <td><?php echo $la_lignoca[1]; ?></td> <td><?php echo $la_lignoca[2]; ?></td> <td><?php echo $la_lignoca[3]; ?></td> </tr> </tbody> </table> </div> </div><!--combined-spine-table--> <h4 class="pt"><b>Test Dose Adjuvant</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2" style="border:0;">Opioid</td> <td style="border:0;"></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Opioid Name</td> <td style="border:0;"><?php echo $info['opioid_name']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Opioid Dose(microgram equivalent)</td> <td style="border:0;"><?php echo $info['opioid_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Clonidne with Dose(mcgm)</td> <td><?php echo $info['clonidina_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Dexmeditomidine with Dose(mcgm)</td> <td><?php echo $info['dexmeditomidine_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Dexamethasone with Dose(mg)</td> <td><?php echo $info['dexamephasone_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Tramadol with Dose(mg)</td> <td><?php echo $info['trmadol_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Ketamine with Dose(mg)</td> <td><?php echo $info['kepamine_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Midazolam with Dose(mg)</td> <td><?php echo $info['midazolam_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Adrenaline(Epinephrine)(mcmg)</td> <td><?php echo $info['adrenaline_dose']; ?></td> </tr> <tr> <td class="bg-pat2">Other</td> <td>Yes</td> </tr> <?php $aj_other = $info['aj_epidural_other']; $aj_epidural_other = json_decode($aj_other, true); foreach($aj_epidural_other as $key=>$val){ ?> <tr> <td class="bg-pat2" style="border:0;">Adjuvant Name</td> <td style="border:0;"><?php echo $val['name']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Adjuvant Dose(mg)</td> <td style="border:0;"><?php echo $val['dose']; ?></td> </tr> <?php } ?> </tbody> </table> </div> </div><!--combined-spinal-table1--> <h4 class="pt"><b>Spinal Anaesthesia</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Anatomical Landmark</b></h5> </div> <div class="card-body"> <p><?php echo $info['spinal_landamark']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Spinal Level</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Lumbar</b></h5> </div> <div class="card-body"> <p><?php echo $info['spinal_level']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Needle Brand,Type and Size</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <ul> <li><b>Needle Brand</b></li> <li><b> Needle Type</b></li> <li><b> Needle Size</b></li> </ul> </div> <div class="card-body"> <ul> <?php if($spinal_nb){ $xyz = $info['spinal_needle_brand']; $xy = explode(' - ',$xyz); ?> <li><span><?php echo $xy[1] ; ?></span></li> <?php }else{ ?> <li><span><?php echo $info['spinal_needle_brand']; ?></span></li> <?php }; ?> <?php if($spinal_nt){ $x = $info['spinal_needle_type']; $y = explode(' - ',$x); ?> <li><span><?php echo $y[1] ; ?></span></li> <?php }else{ ?> <li><span><?php echo $info['spinal_needle_type']; ?></span></li> <?php }; ?> <li><span><?php echo $info['spinal_needle_size']; ?></span></li> </ul> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Approach</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Approach</b></h5> </div> <div class="card-body"> <p><?php echo $info['spinal_approach']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Number of Attempts</b></h4> <div class="combined-spinal-card2"> <div class="card-header"> <h5><b>Number of Attempts</b></h5> </div> <div class="card-body"> <p><?php echo $info['spinal_no_attempts']; ?></p> </div> </div><!--combined-spinal-card2--> <h4 class="pt"><b>Spinal Anaesthetic</b></h4> <div class="combined-spinal-table2"> <div class="table-responsive"> <table class="table"> <thead> <tr> <th>Solution</th> <th>Dosage(%)</th> <th>Dosage(ml)</th> <th>Dosage(mg)</th> </tr> </thead> <tbody> <tr><?php $spinal_lig = $info['spinal_lignocaine_an']; $spinal_lignoca = explode(",",$spinal_lig); ?> <td>Lignocaine - <?php echo $spinal_lignoca[0]; ?></td> <td><?php echo $spinal_lignoca[1]; ?></td> <td><?php echo $spinal_lignoca[2]; ?></td> <td><?php echo $spinal_lignoca[3]; ?></td> </tr> <tr><?php $spinal_bupi= $info['spinal_bupivacaine_an']; $spinal_bupivaca = explode(",",$spinal_bupi); ?> <td>Bupivacaine Plain - <?php echo $spinal_bupivaca[0]; ?></td> <td><?php echo $spinal_bupivaca[1]; ?></td> <td><?php echo $spinal_bupivaca[2]; ?></td> <td><?php echo $spinal_bupivaca[3]; ?></td> </tr> <tr><?php $spinal_ropi= $info['spinal_ropivacaine_an']; $spinal_ropivaca = explode(",",$spinal_ropi); ?> <td>Ropivacaine - <?php echo $spinal_ropivaca[0]; ?></td> <td><?php echo $spinal_ropivaca[1]; ?></td> <td><?php echo $spinal_ropivaca[2]; ?></td> <td><?php echo $spinal_ropivaca[3]; ?></td> </tr> <tr><?php $spinal_pri= $info['spinal_prilocaine_an']; $spinal_priloca = explode(",",$spinal_pri); ?> <td>Prilocaine - <?php echo $spinal_priloca[0]; ?></td> <td><?php echo $spinal_priloca[1]; ?></td> <td><?php echo $spinal_priloca[2]; ?></td> <td><?php echo $spinal_priloca[3]; ?></td> </tr> <tr><?php $spinal_2chlo= $info['spinal_2chloroprocaine_an']; $spinal_2chlorop = explode(",",$spinal_2chlo); ?> <td>2-chloroprocaine - <?php echo $spinal_2chlorop[0]; ?></td> <td><?php echo $spinal_2chlorop[1]; ?></td> <td><?php echo $spinal_2chlorop[2]; ?></td> <td><?php echo $spinal_2chlorop[3]; ?></td> </tr> <tr> <td>Other</td> <td></td> <td></td> <td></td> </tr> <tr><?php $other_spi= $info['other_spinal_an']; $other_spinal = explode(",",$other_spi); ?> <td style="border:0;"><?php echo $other_spinal[0]; ?></td> <td style="border:0;"><?php echo $other_spinal[1]; ?></td> <td style="border:0;"><?php echo $other_spinal[2]; ?></td> <td style="border:0;"><?php echo $other_spinal[3]; ?></td> </tr> </tbody> </table> </div> </div><!--combined-spinal-table2--> <h4 class="pt"><b>Adjuvant</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2" style="border:0;">Opioid</td> <td style="border:0;"></td> </tr> <?php $aj_spinal_op = $info['aj_spinal_opioid']; $aj_spinal_opioid = json_decode($aj_spinal_op, true); foreach($aj_spinal_opioid as $key=>$val){ ?> <tr> <td class="bg-pat2" style="border:0;">Opioid Name</td> <td style="border:0;"><?php echo $val['name']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Opioid Dose(microgram equivalent)</td> <td style="border:0;"><?php echo $val['dose']; ?></td> </tr> <?php } ?> <tr> <td class="bg-pat2">Clonidne with Dose(mcgm)</td> <td><?php echo $info['aj_spinal_clonidne']; ?></td> </tr> <tr> <td class="bg-pat2">Dexmeditomidine with Dose(mcgm)</td> <td><?php echo $info['aj_spinal_dexmeditomidine']; ?></td> </tr> <tr> <td class="bg-pat2">Dexamethasone with Dose(mg)</td> <td><?php echo $info['aj_spinal_dexamethasone']; ?></td> </tr> <tr> <td class="bg-pat2">Tramadol with Dose(mg)</td> <td><?php echo $info['aj_spinal_tramadol']; ?></td> </tr> <tr> <td class="bg-pat2">Adrenaline(Epinephrine)(mcmg)</td> <td><?php echo $info['aj_spinal_adrenaline']; ?></td> </tr> <!-- <tr> <td class="bg-pat2">Midazolam with Dose(mg)</td> <td><?php echo $info['aj_spinal_clonidne']; ?></td> </tr> --> <tr> <td class="bg-pat2">Other</td> <td>Yes</td> </tr> <?php $aj_spinal_ot = $info['aj_spinal_other']; $aj_spinal_other = json_decode($aj_spinal_ot, true); foreach($aj_spinal_other as $key=>$val){ ?> <tr> <td class="bg-pat2" style="border:0;">Adjuvant Name</td> <td style="border:0;"><?php echo $val['name']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Adjuvant Dose(mg)</td> <td style="border:0;"><?php echo $val['dose']; ?></td> </tr> <?php } ?> </tbody> </table> </div> </div><!--combined-spinal-table1--> <h4 class="pt"><b>Analgesia supplementation required</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2">Inhalation Analgesia</td> <td><?php echo $info['in_analgesia']; ?></td> </tr> <tr> <td class="bg-pat2">IV analgesia</td> <td><?php echo $info['asr_iv_analgesia']; ?></td> </tr> <tr> <td class="bg-pat2">Opioids</td> <td><?php echo $info['asr_opioids']; ?></td> </tr> <?php $asr_opioids_nd = $info['asr_opioids_name_dose']; $asr_opioids_name_dose = json_decode($asr_opioids_nd, true); foreach($asr_opioids_name_dose as $key=>$val){ ?> <tr> <td class="bg-pat2" style="border:0;">Opioid Name</td> <td style="border:0;"><?php echo $val['name']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Opioid Dose(microgram equivalent)</td> <td style="border:0;"><?php echo $val['dose']; ?></td> </tr> <?php } ?> <tr> <td class="bg-pat2">Multi-modal Analgesia Ketamine Other</td> <td><?php echo $info['asr_multi_modal']; ?></td> </tr> <tr> <td class="bg-pat2">Ketamine</td> <td><?php echo $info['asr_ketamine']; ?></td> </tr> <tr> <td class="bg-pat2">Dexmedetomidine</td> <td><?php echo $info['asr_dexmedetomidine']; ?></td> </tr> <tr> <td class="bg-pat2">Clonidine</td> <td><?php echo $info['asr_clonidine']; ?></td> </tr> <tr> <td class="bg-pat2">Tramadol</td> <td><?php echo $info['asr_tramadol']; ?></td> </tr> <tr> <td class="bg-pat2">Magnesium</td> <td><?php echo $info['asr_magnesium']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">IV adjuncts</td> <td style="border:0;"><?php echo $info['asr_other']; ?></td> </tr> <?php $asr_other_iv = $info['asr_other_iv_aj']; $asr_other_iv_aj = json_decode($asr_other_iv, true); foreach($asr_other_iv_aj as $key=>$val){ ?> <tr> <td class="bg-pat2" style="border:0;">Adjuvant Name</td> <td style="border:0;"><?php echo $val['name']; ?></td> </tr> <tr> <td class="bg-pat2" style="border:0;">Adjuvant Dose(mg)</td> <td style="border:0;"><?php echo $val['dose']; ?></td> </tr> <?php } ?> </tbody> </table> </div> </div><!--combined-spinal-table1--> <label class="pt">Technical Complications</label> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2">Equipment Related</td> <td><?php echo $info['tc_equipment']; ?></td> </tr> <tr> <td class="bg-pat2">Multiple attempts</td> <td><?php echo $info['tc_multiple_attempts']; ?></td> </tr> <tr> <td class="bg-pat2">2nd Anaesthetist</td> <td><?php echo $info['tc_2nd_anaesthetist']; ?></td> </tr> <tr> <td class="bg-pat2">Technique abandoned/failure to find sapce</td> <td><?php echo $info['tc_failure_space']; ?></td> </tr> <tr> <td class="bg-pat2">Catheter related</td> <td><?php echo $info['tc_catheter_related']; ?></td> </tr> <tr><?php if($t_other){ ?> <td class="bg-pat2">Other</td> <?php }else{ ?> <td class="bg-pat2"><?php echo $info['tc_other_input']; ?></td> <?php }; ?> <td><?php echo $info['tc_other']; ?></td> </tr> </tbody> </table> </div> </div><!--combined-spinal-table1--> <h4 class="pt"><b>Acute Complications</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2">Epidural re-sited</td> <td><?php echo $info['ac_epidural_resited']; ?></td> </tr> <tr> <td class="bg-pat2">Local Anaesthetic systemic toxicity(LAST)</td> <td><?php echo $info['ac_local_anaesthetic']; ?></td> </tr> <tr> <td class="bg-pat2">Respiratory Arrest</td> <td><?php echo $info['ac_respiratory_arrest']; ?></td> </tr> <tr> <td class="bg-pat2">Cardiac Arrest</td> <td><?php echo $info['ac_cardiac_arrest']; ?></td> </tr> <tr> <td class="bg-pat2">Radicular Pain (needle/catheter)</td> <td><?php echo $info['ac_radicular_pain']; ?></td> </tr> <tr> <td class="bg-pat2">Paresthesia (needle/catheter)</td> <td><?php echo $info['ac_paresthesia_pain']; ?></td> </tr> <tr> <td class="bg-pat2">Bloody Tap ( needle/catheter)</td> <td><?php echo $info['ac_bloody_tap']; ?></td> </tr> <tr> <td class="bg-pat2">Wet Tap/Dural puncture (Needle/Catheter)</td> <td><?php echo $info['ac_wet_tap']; ?></td> </tr> <tr> <td class="bg-pat2">Hypotension</td> <td><?php echo $info['ac_hypotension']; ?></td> </tr> <tr> <td class="bg-pat2">Nausea</td> <td><?php echo $info['ac_nausea']; ?></td> </tr> <tr> <td class="bg-pat2">Vomiting</td> <td><?php echo $info['ac_vomiting']; ?></td> </tr> <tr> <td class="bg-pat2">High Block</td> <td><?php echo $info['ac_high_block']; ?></td> </tr> <tr> <td class="bg-pat2">Subdural Block</td> <td><?php echo $info['ac_subdural_block']; ?></td> </tr> <tr> <td class="bg-pat2">Motor Block</td> <td><?php echo $info['ac_moto_block']; ?></td> </tr> <tr> <td class="bg-pat2">Total Spinal</td> <td><?php echo $info['ac_tatal_spinal']; ?></td> </tr> <tr> <td class="bg-pat2">Accidental Dural Puncture</td> <td><?php echo $info['ac_accidental_dural']; ?></td> </tr> <tr><?php if($a_complication) {?> <td class="bg-pat2">Other</td> <?php }else{ ?> <td class="bg-pat2"><?php echo $info['ac_other_input']; ?></td> <?php }; ?> <td><?php echo $info['ac_other']; ?></td> </tr> </tbody> </table> </div> </div><!--combined-spinal-table1--> <h4 class="pt"><b>Success</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <!-- <tr> <td class="bg-pat2">Complete Success</td> <td>Yes</td> </tr> <tr> <td class="bg-pat2" style="border:0;">Onset</td> <td style="border:0;">Text</td> </tr> <tr> <td class="bg-pat2">Partial Success</td> <td>No</td> </tr> <tr> <td class="bg-pat2" style="border:0;">Onset</td> <td style="border:0;">Text</td> </tr> <tr> <td class="bg-pat2">Failure</td> <td>No</td> </tr> --> <!-- <tr> --> <?php if(($success_status[0]) == 'Partial Success'){ ?> <tr> <td class="bg-pat2">Partial Success</td> <td>Yes</td> </tr> <tr> <td class="bg-pat2" style="border:0;">Onset</td> <td style="border:0;" ><?php echo $info['success_onset']; ?></td> </tr> <?php }elseif(($success_status[0]) == 'Complete Success'){ ?> <tr> <td class="bg-pat2">Complete Success</td> <td>Yes</td> </tr> <tr> <td class="bg-pat2" style="border:0;">Onset</td> <td style="border:0;" ><?php echo $info['success_onset']; ?></td> </tr> <?php }else{ ?> <tr> <td class="bg-pat2">Failure</td> <td>Yes</td> </tr> <?php }; ?> <!-- </tr> --> </tbody> </table> </div> </div><!--combined-spinal-table1--> <h4 class="pt"><b>Sensory Level</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2">Cold</td> <td>Yes</td> </tr> <tr> <td class="bg-pat2">Touch</td> <td>No</td> </tr> <tr> <td class="bg-pat2">Pin Prick</td> <td>No</td> </tr> </tbody> </table> </div> </div><!--combined-spinal-table1--> <div class="body-img"> <div class="row"> <div class="col-sm-3"> <h5><b>Level To Cold</b></h5> <p><span style="margin: 0 30px 0 0;">Highest Level</span>Highest Level</p> <p>LEFT:<span style="color:red;margin: 0 65px 0 0;">T2</span>RIGHT:<span style="color:red;">T2</span></p> <p><span style="margin: 0 30px 0 0;">Lowest Level</span>Lowest Level</p> <p>LEFT:<span style="color:red;margin: 0 65px 0 0;">L1</span>RIGHT:<span style="color:red;">L2</span></p> </div> <div class="col-sm-4"> <div class="sensor-table"> <div class="table-responsive"> <table class="table table-bordered"> <thead> <tr> <th></th> <th colspan="2">Cold</th> <th colspan="2">Touch</th> <th colspan="2">Pin Prick</th> </tr> <tr> <th></th> <th>L</th> <th>R</th> <th>L</th> <th>R</th> <th>L</th> <th>R</th> </tr> </thead> <tbody> <tr> <td>>CB</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T1</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T2</td> <td id="bg-t2"></td> <td id="bg-t2"></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T3</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T4</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T5</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T6</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T7</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T8</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T9</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T10</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T11</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T12</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>L1</td> <td id="bg-l1"></td> <td id="bg-l1"></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>>L1</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> </tbody> </table> </div> </div><!--sensor-table--> </div> <div class="col-sm-5"> <img src="<?php echo base_url('assets/images/Dermo.png'); ?>" class="img-fluid d-block mx-auto"> </div> </div><!--row--> </div><!--body-img--> <h4 class="pt"><b>Motor Level (Bromage Score)</b></h4> <div class="combined-spinal-table1"> <div class="table-responsive"> <table class="table"> <tbody> <tr> <td class="bg-pat2">Selected</td> <td><?php echo $info['motor_level']; ?></td> </tr> <tr> <td class="bg-pat2">Duration of Surgery Mins</td> <td><?php echo $info['duration_surgery']; ?></td> </tr> <tr> <td class="bg-pat2">Blood Loss ml</td> <td><?php echo $info['blood_loss']; ?></td> </tr> <tr> <td class="bg-pat2">Vasopressor Use</td> <td><?php echo $info['vasopressor_use']; ?></td> </tr> </tbody> </table> </div> </div><!--combined-spinal-table1--> <div class="bromo-img"> <div class="row"> <div class="col-sm-3"></div> <div class="col-sm-6"><img src="<?php echo base_url('assets/images/Bromo.png'); ?>" class="img-fluid d-block mx-auto"></div> <div class="col-sm-3"></div> </div><!--row--> </div><!--bromo-img--> </div><!--combined-spinal-cont--> </section><!--combined-spinal-view--> <!------------------------------------------EDIT-COMBINED-SPINAL-START----------------------------> <section class="edit-combined-spinal"> <!-- The Modal --> <div class="modal fade" id="edit-comb-spinal"> <div class="modal-dialog modal-lg"> <div class="modal-content"> <!-- Modal Header --> <div class="modal-header" id="add-header"> <h4 class="modal-title">Edit Combined Spinal Epidural</h4> <button type="button" class="close" data-dismiss="modal">&times;</button> </div> <!-- Modal body --> <div class="modal-body"> <form id="combined_spinal_modal"> <label>Patient status during Neuraxial Block<span class="mandat">*</span></label> <input type="hidden" class="form-control" name="id" value="<?php echo $info['id']; ?>" > <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-6"> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" id="awake_e" value="Awake" name="patient_status_e" onclick="hide()">Awake </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" id="sedation_e" value="Sedation" name="patient_status_e" onclick="show()">Sedation </label> </div> <div class="pt" id="option_e" style="display:none;"> <select class="form-control" id="sedation_opt_e" name="sedation_opt_e"> <option>Select</option> <option>1-Mild easy to rouse</option> <option>2-Moderate,easy to rouse,unable to remain awake</option> <option>3-Difficult to rouse</option> </select> </div> <?php if($ga == 'Sole/Primary Anaesthetic') {?> <div class="form-check" style="display:none;"> <label class="form-check-label"> <input type="radio" class="form-check-input" value="GA" name="neuraxial_block" onclick="hide()" >GA </label> </div> <?php } else{ ?> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" value="GA" name="neuraxial_block" onclick="hide()" >GA </label> </div> <?php } ?> </div> <div class="col-sm-4"></div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label style="font-size:13px;">Patient Position<span class="mandat">*</span></label></div> <div class="col-sm-4"> <select class="form-control" id="patient_position_e" name="patient_position_e"> <option>Select</option> <option>Lateral</option> <option>Sitting</option> <option>Prone</option> </select> </div> <div class="col-sm-4"></div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Asepsis<span class="mandat">*</span></label></div> <div class="col-sm-10"> <div class="t-switch"> <ul> <li> <div class="togle"> <label>Wearing cap and mask</label> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="wearing_mask_e"> <input type="checkbox" class="switch_1" id="wearing_mask_e" value="Yes" name="wearing_mask_e"> </div> </div> </li> <li> <div class="togle"> <label>Hand washing</label> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="hand_washing_e"> <input type="checkbox" class="switch_1" value="Yes" id="hand_washing_e" name="hand_washing_e"> </div> </div> </li> </ul><!--------------------> <ul> <li> <div class="togle"> <label>Sterile gown</label> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="sterile_gown_e"> <input type="checkbox" class="switch_1" value="Yes" id="sterile_gown_e" name="sterile_gown_e"> </div> </div> </li> <li> <div class="togle"> <label>Sterile draping</label> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="sterile_draping_e"> <input type="checkbox" class="switch_1" value="Yes" id="sterile_draping_e" name="sterile_draping_e"> </div> </div> </li> </ul><!--------------------> </div> </div> </div><!--row--> <div class="row"> <div class="col-sm-2"><label>Skin Prep<span class="mandat">*</span></label></div> <div class="col-sm-4"> <select class="form-control" id="skin_prep_e" name="skin_prep_e"> <option>Select</option> <option>Alcohol</option> <option>Chlorhexidine</option> <option>Betadine</option> <option>Combinations</option> <option>Other</option> </select> </div> <div class="col-sm-6"></div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><span><b>CSE Technique</b><span class="mandat">*</span></span></div> <div class="col-sm-5"> <select class="form-control" id="cse_tech_e" name="cse_tech_e"> <option>Select</option> <option>Single Interspace Technique(Needle through Needle)</option> <option>Double Interspace Technique</option> <option>DPE:Dural Puncture Epidural Technique</option> </select> </div> <div class="col-sm-5"></div> </div><!--row--> <!-- <h5><b>Epidural<span class="mandat">*</span></b></h5> --> <div class="row pt"> <div class="col-sm-2"><label>Anatomical Landmark<span class="mandat">*</span></label></div> <div class="col-sm-4"> <select class="form-control" id="landmark_e" name="landmark_e"> <option>Select</option> <option>Easily Palpable</option> <option>Poorly Palpable</option> <option>Non Palpable</option> </select> </div> </div><!--row--> <div class="row"> <div class="col-sm-3"><h5><b>Epidural Level</b></h5></div> <div class="col-sm-2"><!-- <input type="text" class="form-control text-center" id="epidural_level_input" name="epidural_level_input" readonly> --></div> <div class="col-sm-7"><h5 style="text-align:right;"><b>Spinal Level</b></h5></div> </div><!--row--> <div class="row pt"> <div class="col-sm-1"></div> <div class="col-sm-3"> <input type="text" class="form-control text-center epidural1" id="epidural_level_input" name="epidural_level_input" style="margin-bottom:10px;" readonly> <input type="text" class="form-control text-center epidural_level_name" name="epidural_level_input_name" readonly> </div> <div class="col-sm-5"></div> <div class="col-sm-3"> <input type="text" class="form-control text-center spinal_level_input" name="spinal_level_input" style="margin-bottom:10px;" readonly> <input type="text" class="form-control text-center spinal_level_input_name" name="spinal_level_input_name" readonly> </div> </div> <div class="row human-skeleton"> <div class="col-sm-12"> <div class="new-skeleton-img"> <img src="<?php echo base_url('assets/images/CSE-new.png'); ?>" class="img-fluid d-block mx-auto"> <button type="button" class="btn epidural_level C1-2" value="C1-2,Cervical" id="cse-btn">C1-2</button> <button type="button" class="btn epidural_level C2-3" value="C2-3,Cervical" id="cse-btn1">C2-3</button> <button type="button" class="btn epidural_level C3-4" value="C3-4,Cervical" id="cse-btn2">C3-4</button> <button type="button" class="btn epidural_level C4-5" value="C4-5,Cervical" id="cse-btn3">C4-5</button> <button type="button" class="btn epidural_level C5-6" value="C5-6,Cervical" id="cse-btn4">C5-6</button> <button type="button" class="btn epidural_level C6-7" value="C6-7,Cervical" id="cse-btn5">C6-7</button> <button type="button" class="btn epidural_level C7-T1" value="C7-T1,Cervical" id="cse-btn6">C7-T1</button> <button type="button" class="btn epidural_level T1-2" value="T1-2,Thoracic" id="cse-btn7">T1-2</button> <button type="button" class="btn epidural_level T2-3" value="T2-3,Thoracic" id="cse-btn8">T2-3</button> <button type="button" class="btn epidural_level T3-4" value="T3-4,Thoracic" id="cse-btn9">T3-4</button> <button type="button" class="btn epidural_level T4-5" value="T4-5,Thoracic" id="cse-btn10">T4-5</button> <button type="button" class="btn epidural_level T5-6" value="T5-6,Thoracic" id="cse-btn11">T5-6</button> <button type="button" class="btn epidural_level T6-7" value="T6-7,Thoracic" id="cse-btn12">T6-7</button> <button type="button" class="btn epidural_level T7-8" value="T7-8,Thoracic" id="cse-btn13">T7-8</button> <button type="button" class="btn epidural_level T8-9" value="T8-9,Thoracic" id="cse-btn14">T8-9</button> <button type="button" class="btn epidural_level T9-10" value="T9-10,Thoracic" id="cse-btn15">T9-10</button> <button type="button" class="btn epidural_level T10-11" value="T10-11,Thoracic" id="cse-btn16">T10-11</button> <button type="button" class="btn epidural_level T11-12" value="T11-12,Thoracic" id="cse-btn17">T11-12</button> <button type="button" class="btn epidural_level T12-L1" value="T12-L1,Thoracic" id="cse-btn18">T12-L1</button> <button type="button" class="btn epidural_level L1-2" value="L1-2,Lumbar" id="cse-btn19">L1-2</button> <button type="button" class="btn epidural_level L2-3" value="L2-3,Lumbar" id="cse-btn20">L2-3</button> <button type="button" class="btn epidural_level L3-4" value="L3-4,Lumbar" id="cse-btn21">L3-4</button> <button type="button" class="btn epidural_level L4-5" value="L4-5,Lumbar" id="cse-btn22">L4-5</button> <button type="button" class="btn epidural_level L5-S1" value="L5-S1,Lumbar" id="cse-btn23">L5-S1</button> <button type="button" class="btn epidural_level Caudal" value="Caudal,Caudal" id="cse-btn24">Caudal</button> <div> <button type="button" class="btn spinal_level T1-2" value="T1-2,Thoracic" id="cse-btn25">T1-2</button> <button type="button" class="btn spinal_level T2-3" value="T2-3,Thoracic" id="cse-btn26">T2-3</button> <button type="button" class="btn spinal_level T3-4" value="T3-4,Thoracic" id="cse-btn27">T3-4</button> <button type="button" class="btn spinal_level T4-5" value="T4-5,Thoracic" id="cse-btn28">T4-5</button> <button type="button" class="btn spinal_level T5-6" value="T5-6,Thoracic" id="cse-btn29">T5-6</button> <button type="button" class="btn spinal_level T6-7" value="T6-7,Thoracic" id="cse-btn30">T6-7</button> <button type="button" class="btn spinal_level T7-8" value="T7-8,Thoracic" id="cse-btn31">T7-8</button> <button type="button" class="btn spinal_level T8-9" value="T8-9,Thoracic" id="cse-btn32">T8-9</button> <button type="button" class="btn spinal_level T9-10" value="T9-10,Thoracic" id="cse-btn33">T9-10</button> <button type="button" class="btn spinal_level T10-11" value="T10-11,Thoracic" id="cse-btn34">T10-11</button> <button type="button" class="btn spinal_level T11-12" value="T11-12,Thoracic" id="cse-btn35">T11-12</button> <button type="button" class="btn spinal_level T12-L1" value="T12-L1,Thoracic" id="cse-btn36">T12-L1</button> <button type="button" class="btn spinal_level L1-2" value="L1-2,Lumbar" id="cse-btn37">L1-2</button> <button type="button" class="btn spinal_level L2-3" value="L2-3,Lumbar" id="cse-btn38">L2-3</button> <button type="button" class="btn spinal_level L3-4" value="L3-4,Lumbar" id="cse-btn39">L3-4</button> <button type="button" class="btn spinal_level L4-5" value="L4-5,Lumbar" id="cse-btn40">L4-5</button> <button type="button" class="btn spinal_level L5-S1" value="L5-S1,Lumbar" id="cse-btn41">L5-S1</button> </div> </div> </div> </div><!--row--> <!-- <div class="row human-skeleton"> <div class="col-sm-12"> <img src="<?php echo base_url('assets/images/Lev.png') ?>" class="img-fluid d-block mx-auto"> <button type="button" class="btn epidural_level C1-2" value="C1-2" id="c1-2">C1-2</button> <button type="button" class="btn epidural_level C2-3" value="C2-3" id="c2-3">C2-3</button> <button type="button" class="btn epidural_level C3-4" value="C3-4" id="c2-4">C3-4</button> <button type="button" class="btn epidural_level C4-5" value="C4-5" id="c2-5">C4-5</button> <button type="button" class="btn epidural_level C5-6" value="C5-6" id="c2-6">C5-6</button> <button type="button" class="btn epidural_level C6-7" value="C6-7" id="c2-7">C6-7</button> <button type="button" class="btn epidural_level C7-T1" value="C7-T1" id="c2-8">C7-T1</button> <button type="button" class="btn epidural_level T1-2" value="T1-2" id="c2-9">T1-2</button> <button type="button" class="btn epidural_level T2-3" value="T2-3" id="c2-10">T2-3</button> <button type="button" class="btn epidural_level T3-4" value="T3-4" id="c2-11">T3-4</button> <button type="button" class="btn epidural_level T4-5" value="T4-5" id="c2-12">T4-5</button> <button type="button" class="btn epidural_level T5-6" value="T5-6" id="c2-13">T5-6</button> <button type="button" class="btn epidural_level T6-7" value="T6-7" id="c2-14">T6-7</button> <button type="button" class="btn epidural_level T7-8" value="T7-8" id="c2-15">T7-8</button> <button type="button" class="btn epidural_level T8-9" value="T8-9" id="c2-16">T8-9</button> <button type="button" class="btn epidural_level T9-10" value="T9-10" id="c2-17">T9-10</button> <button type="button" class="btn epidural_level T10-11" value="T10-11" id="c2-18">T10-11</button> <button type="button" class="btn epidural_level T11-12" value="T11-12" id="c2-19">T11-12</button> <button type="button" class="btn epidural_level T12-L1" value="T12-L1" id="c2-20">T12-L1</button> <button type="button" class="btn epidural_level L1-2" value="L1-2" id="c2-21">L1-2</button> <button type="button" class="btn epidural_level L2-3" value="L2-3" id="c2-22">L2-3</button> <button type="button" class="btn epidural_level L3-4" value="L3-4" id="c2-23">L3-4</button> <button type="button" class="btn epidural_level L4-5" value="L4-5" id="c2-24">L4-5</button> <button type="button" class="btn epidural_level L5-S1" value="L5-S1" id="c2-25">L5-S1</button> <button type="button" class="btn epidural_level Caudal" value="Caudal" id="c2-26">Caudal</button> </div> </div> --> <h4><b>Epidural Section of CSE</b></h4> <label><b>Ultrasound</b></label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4"> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="epidural_ultra_sound"> <input type="checkbox" class="switch_1" value="Yes" id="epidural_ultra_sound" name="epidural_ultra_sound" onclick="ultra()"> </div> </div> <div class="col-sm-6"></div> </div><!--row--> <div class="epidural_ultrasound" style="display:none;"> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-2"><span>Probe Cover</span></div> <div class="col-sm-4"> <select class="form-control" id="epidural_probe_cover" name="epidural_probe_cover"> <option>Select probe cover</option> <option>Yes</option> <option>No</option> </select> </div> <div class="col-sm-4"></div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-2"><span>Image Quality</span></div> <div class="col-sm-4"> <select class="form-control" id="epidural_image_quality" name="epidural_image_quality"> <option>Select image quality</option> <option>Good</option> <option>Average</option> <option>Poor</option> </select> </div> <div class="col-sm-4"></div> </div><!--row--> </div> <label><b>Needle Brand,Type and Size</b></label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <span>Select Needle Brand</span> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4"> <select class="form-control epidural_needel_brand_other" name="epidural_brand"> <option>Select</option> <?php foreach($epidural_needle_brand as $key=>$master){ ?> <option><?php echo $master['name']; ?></option> <?php } ?> <option>Other</option> </select> <input type="text" class="form-control epidural_needel_brand_other_input" name="epidural_brand_input" style="margin-top: 12px; display:none;"> </div> <div class="col-sm-6"></div> </div> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-10"> <span>Select Epidural Needle Type</span> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4"> <select class="form-control epidural_needel_type_other" name="epidural_needle_type"> <option>Select</option> <!-- <option>Touhy</option> <option>Crawford</option> <option>Hustead</option> --> <?php foreach($epidural_needle_type as $key=>$master){ ?> <option><?php echo $master['name']; ?></option> <?php } ?> <option>Other</option> </select> <input type="text" class="form-control epidural_needel_type_other_input" name="epidural_needle_input" style="margin-top: 12px; display:none;"> </div> <div class="col-sm-6"></div> </div> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-10"> <span>Select Epidural Needle Size</span> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4"> <select class="form-control epidural_needle_size" name="epidural_needle_size"> <option>Select needle size</option> <option>16G</option> <option>17G</option> <option>18G</option> <option>19G</option> <option>20G</option> <option>21G</option> <option>22G</option> <option>23G</option> <option>24G</option> </select> </div> <div class="col-sm-6"></div> </div> </div> </div><!--row--> <label><b>Epidural Technique</b></label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-6"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input" name="lor_saline" id="lor_saline" value="LOR Saline">LOR Saline </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input" name="lor_air" id="lor_air" value="LOR Air">LOR Air </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input" name="hanging_drop" id="hanging_drop" value="Hanging Drop">Hanging Drop </label> </div> <div class="form-check" id="proced-plus" style="display:flex;"> <label class="form-check-label" style="margin-right:8px;"> <input type="checkbox" class="form-check-input" id="other" onclick="oth()">Other </label> <div class="other_input" style="display:none;"> <div id="proced-plus" style="display:flex;"> <!-- <input type="hidden" class="form-control" > --> <button type="button" class="btn add1"><i class="fa fa-plus" aria-hidden="true"></i></button> </div> <div class="other9 mt-2"> <?php $z = $info['epidural_other']; $w = explode(",",$z); foreach($w as $val){ ?> <div class="row1"> <div id="proced-plus" style="display:flex; margin-bottom: 10px;"> <input type="text" class="form-control" name="others[]" value="<?php echo $val; ?>" > <button type="button" class="btn remove11"><i class="fa fa-times" aria-hidden="true"></i></button> </div> </div> <?php } ?> </div> </div> </div> </div> <div class="col-sm-4"></div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Approach</label></div> <div class="col-sm-4"> <select class="form-control epidural_approach" name="epidural_approach"> <option>Select</option> <option>Midline</option> <option>Paramedian</option> </select> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Number Of Attempts</label></div> <div class="col-sm-4"> <select class="form-control epidural_attempts" name="epidural_attempts"> <option>Select</option> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> <option>13</option> <option>14</option> <option>15</option> <option>16</option> <option>17</option> <option>18</option> <option>19</option> <option>20</option> </select> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Epidural Depth(cm)</label></div> <div class="col-sm-4"> <input type="text" class="form-control epidural_depth" name="epidural_depth"> </div> </div><!--row--> <label>Technique</label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-8"> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" id="epidural_single" value="Single Shot" name="epidural_tech">Single Shot </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input catheter" onclick="catheter()" value="Catheter" name="epidural_tech" >Catheter </label> </div> <div class="pt catheter_fild" style="display:flex; display:none;"> <span>Catheter mark at Skin (cm)</span> <input type="text" class="form-control epidural_catheter" name="epidural_catheter" style="width:30%;"> </div> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Test Dose</label></div> <div class="col-sm-4"> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="test_dose"> <input type="checkbox" class="switch_1 test_dose" value="Yes" name="test_dose"> </div> </div> <div class="col-sm-6"></div> </div><!--row--> <div class="row"> <div class="col-sm-2"><label>Intra Operative LA Regimen</label></div> <div class="col-sm-4"> <select class="form-control intra_operative_la" name="intra_operative_la"> <option>Select</option> <option>Continous Infusion</option> <option>Intermitten Bolus</option> </select> </div> <div class="col-sm-6"></div> </div><!--row--> <!-- <label class="pt"><b>Total Intra Operative LA & Adjuvant Consumption<a href="#" data-toggle="tooltip" data-placement="bottom" class="tip" title="This includes Test Dose,Initial Dose and Total Intra Operative Use"><i class="fa fa-info-circle" aria-hidden="true"></i></a></label> --> <h5 class="bt"><b>Total Intra Operative LA & Adjuvant Consumption</b> <div class="tooltip-4"> <i class="fa fa-info-circle" aria-hidden="true"></i> <div class="right-4"> <div class="text-content-4"> <h6>This includes Test Dose,Initial Dose and Total Intra Operative Use</h6> <i></i> </div> </div> </div> </h5> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <label>Local Anaesthetic</label> <div class="pac-box"> <div class="pacu-1"><p>Ropivacaine</p></div> <div class="pacu-1-x"> <select class="form-control epidural_option1" name="epidural_ropiva"> <option >Select</option> <option >Without Adrenaline</option> <option >With Adrenaline</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_persent1" name="epidural_ropiva_persent" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_ml1" name="epidural_ropiva_ml" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_mg1" name="epidural_ropiva_mg" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>Bupivacaine</p></div> <div class="pacu-1-x"> <select class="form-control epidural_option2" name="epidural_bupiva"> <option >Select</option> <option >Without Adrenaline</option> <option >With Adrenaline</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_persent2" name="epidural_bupiva_persent" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_ml2" name="epidural_bupiva_ml" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_mg2" name="epidural_bupiva_mg" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>Levobupivacaine</p></div> <div class="pacu-1-x"> <select class="form-control epidural_option3" name="epidural_levabup"> <option >Select</option> <option >Without Adrenaline</option> <option >With Adrenaline</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_persent3" name="epidural_levabup_persent" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_ml3" name="epidural_levabup_ml" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_mg3" name="epidural_levabup_mg" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>Lignocaine</p></div> <div class="pacu-1-x"> <select class="form-control epidural_option4" name="epidural_lignoca"> <option >Select</option> <option >Without Adrenaline</option> <option >With Adrenaline</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_persent4" name="epidural_lignoca_persent" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_ml4" name="epidural_lignoca_ml" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control epidural_mg4" name="epidural_lignoca_mg" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> </div><!--col-10--> </div><!--row--> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-10"> <h5><b>Adjuvant</b></h5> <div class= "box_1"> <input type="checkbox" class="switch_1 epidural_adjuvant" onclick="epidural_adjuvant()"> </div> <div class="pt epidural_adjuvant_check" id="proced-plus" style="display:none;border: 1px solid lightgrey;padding: 12px;border-radius: 8px;"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_opioid" value="Opioid" onclick="epidural_opioid()">Opioid </label> </div> <div class="opioid append_fun mt-2" style="display:none;"> <div class="row" style="margin-left:3%;"> <button type="button" class="btn add2" ><i class="fa fa-plus" aria-hidden="true"></i></button> </div><!--row--> <div class="opioid"> <?php $zz = $info['opioid_name']; $ww = $info['opioid_dose']; $k = explode(",",$zz); $t = explode(",",$ww); foreach($k as $key=>$val){ ?> <div class="row11 mt-2"> <div class="row" style=""> <div class="col-sm-5"><label>Opioid Name</label></div> <div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="epidural_opioid_name[]" value="<?php echo $val; ?>"><button type="button" class="btn remove22"><i class="fa fa-times" aria-hidden="true"></i></button></div> </div><!--row--> <div class="row pt" style=""> <div class="col-sm-5"><label>Opioid Dose(microgram equivalent)</label></div> <div class="col-sm-7"><input type="text" class="form-control" name="epidural_opioid_dose[]" value="<?php echo $t[$key]; ?>"></div> </div><!--row--> </div> <?php } ?> </div> </div> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input" id="epidural_clonidne" value="">Clonidne with Dose(mcgm) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_clonidne_input" name="epidural_clonidne_dose" placeholder="mcgm" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_dexme" value="">Dexmeditomidine with Dose(mcgm) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_dexme_input " name="epidural_dexmedito_dose" placeholder="mcgm" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_dexamethasone" value="">Dexamethasone with Dose(mg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_dexamethasone_input" placeholder="mg" name="epidural_dexametha_dose" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_trama" value="">Tramadol with Dose(mg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_trama_input" name="epidural_tramadol_dose" placeholder="mg" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_ketamine" value="">Ketamine with Dose(mg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_ketamine_input" name="epidural_ketamine_dose" placeholder="mg" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_midazolam" value="">Midazolam with dose(mg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_midazolam_input" name="epidural_midazolam_dose" placeholder="mg" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_adrenaline" value="">Adrenaline(Epinephrine)(mcmg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control epidural_adrenaline_input" name="epidural_adrenaline_dose" placeholder="mcmg" readonly></div> </div><!--row--> <div class="row"> <div class="col-sm-8"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input epidural_other" value="">Other </label> </div> <div class="other1 epidural_other_box" style="display:none;"> <div class="row pt"> <!-- <div class="col-sm-4"></div> --> <button id="proced-plus" type="button" class="btn add3"><i class="fa fa-plus" aria-hidden="true"></i></button> <!-- <div class="col-sm-1"></div> --> </div> <div class="other9"> <?php $zk = $info['aj_epidural_other']; $aj_epidural_other = json_decode($zk, true); foreach($aj_epidural_other as $key=>$val){ ?> <div class="row21"> <div class="row pt"> <div class="col-sm-4"><label>Adjuvant Name</label></div> <div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="epidural_aj_name[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove33"><i class="fa fa-times" aria-hidden="true"></i></button></div> <div class="col-sm-1"></div> </div> <div class="row pt"> <div class="col-sm-4"><label>Adjuvant Dose(mg)</label></div> <div class="col-sm-7"><input type="text" class="form-control" name="epidural_aj_dose[]" value="<?php echo $val['dose']; ?>"></div> <div class="col-sm-1"></div> </div> </div> <?php } ?> </div><!--other1 ends--> </div> </div> </div><!--row--> </div> </div> </div><!--row--> <!-- <h4><b>Spinal section of CSE<span class="mandat">*</span></b></h4> <div class="row"> <div class="col-sm-2"><label>Anatomical Landmark</label></div> <div class="col-sm-4"> <select class="form-control spinal_landmark" name="spinal_landmark"> <option>Select</option> <option>Easily Palpable</option> </select> </div> <div class="col-sm-6"></div> </div> <div class="row"> <div class="col-sm-2"><label>Spinal Level</label></div> <div class="col-sm-2"><input type="text" class="form-control text-center" id="spinal_level_input1" name="spinal_level_input" readonly> </div> <div class="col-sm-8"></div> </div> <div class="row human-skeleton"> <div class="col-sm-12"> <img src="<?php echo base_url('assets/images/Lev.png'); ?>" class="img-fluid d-block mx-auto"> <button type="button" class="btn spinal_level C1-21" value="C1-2" id="c1-2">C1-2</button> <button type="button" class="btn spinal_level C2-31" value="C2-3" id="c2-3">C2-3</button> <button type="button" class="btn spinal_level C3-41" value="C3-4" id="c2-4">C3-4</button> <button type="button" class="btn spinal_level C4-51" value="C4-5" id="c2-5">C4-5</button> <button type="button" class="btn spinal_level C5-61" value="C5-6" id="c2-6">C5-6</button> <button type="button" class="btn spinal_level C6-71" value="C6-7" id="c2-7">C6-7</button> <button type="button" class="btn spinal_level C7-T11" value="C7-T1" id="c2-8">C7-T1</button> <button type="button" class="btn spinal_level T1-21" value="T1-2" id="c2-9">T1-2</button> <button type="button" class="btn spinal_level T2-311" value="T2-3" id="c2-10">T2-3</button> <button type="button" class="btn spinal_level T3-41" value="T3-4" id="c2-11">T3-4</button> <button type="button" class="btn spinal_level T4-51" value="T4-5" id="c2-12">T4-5</button> <button type="button" class="btn spinal_level T5-61" value="T5-6" id="c2-13">T5-6</button> <button type="button" class="btn spinal_level T6-71" value="T6-7" id="c2-14">T6-7</button> <button type="button" class="btn spinal_level T7-81" value="T7-8" id="c2-15">T7-8</button> <button type="button" class="btn spinal_level T8-91" value="T8-9" id="c2-16">T8-9</button> <button type="button" class="btn spinal_level T9-101" value="T9-10" id="c2-17">T9-10</button> <button type="button" class="btn spinal_level T10-111" value="T10-11" id="c2-18">T10-11</button> <button type="button" class="btn spinal_level T11-121" value="T11-12" id="c2-19">T11-12</button> <button type="button" class="btn spinal_level T12-L11" value="T12-L1" id="c2-20">T12-L1</button> <button type="button" class="btn spinal_level L1-21" value="L1-2" id="c2-21">L1-2</button> <button type="button" class="btn spinal_level L2-31" value="L2-3" id="c2-22">L2-3</button> <button type="button" class="btn spinal_level L3-41" value="L3-4" id="c2-23">L3-4</button> <button type="button" class="btn spinal_level L4-51" value="L4-5" id="c2-24">L4-5</button> <button type="button" class="btn spinal_level L5-S11" value="L5-S1" id="c2-25">L5-S1</button> <button type="button" class="btn spinal_level Caudal1" value="Caudal" id="c2-26">Caudal</button> </div> </div> --> <label>Spinal Needle Type and Size</label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <span>Select Spinal Needle Brand</span> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4 pt"> <select class="form-control spinal_needel_brand_other" name="spinal_needel_brand"> <option value="Select">Select</option> <?php foreach($spinal_needle_brand as $key=>$master){ ?> <option><?php echo $master['name']; ?></option> <?php } ?> <option value="Other">Other</option> </select> <input type="text" class="form-control spinal_needel_brand_other_input" name="spinal_needel_brand_input" style="margin-top: 12px; display:none; "> </div> <div class="col-sm-6"></div> </div> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-10"> <span>Select Spinal Needle Type</span> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4 pt"> <select class="form-control spinal_needel_type_other" name="spinal_needel_type"> <option value="Select">Select</option> <?php foreach($spinal_needle_type as $key=>$master){ ?> <option><?php echo $master['name']; ?></option> <?php } ?> <option value="Other">Other</option> </select> <input type="text" class="form-control spinal_needel_type_other_input" name="spinal_needel_type_input" style="margin-top: 12px; display:none; "> </div> <div class="col-sm-6"></div> </div> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"></div> <div class="col-sm-10"> <span>Select Spinal Needle Size</span> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-4 pt"> <select class="form-control spinal_needle_size" name="spinal_needle_size"> <option>Select needle size</option> <option>18G</option> <option>19G</option> <option>20G</option> <option>21G</option> <option>22G</option> <option>23G</option> <option>24G</option> <option>25G</option> <option>26G</option> <option>27G</option> <option>28G</option> <option>29G</option> <option>30G</option> <option>31G</option> <option>32G</option> </select> </div> <div class="col-sm-6"></div> </div> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Approach</label></div> <div class="col-sm-4"> <select class="form-control spinal_approach" name="spinal_approach"> <option>Select</option> <option>Midline</option> <option>Paramedian</option> </select> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"><label>Number of Attempts</label></div> <div class="col-sm-4"> <select class="form-control spinal_attempts" name="spinal_attempts"> <option>Select</option> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> <option>11</option> <option>12</option> <option>13</option> <option>14</option> <option>15</option> <option>16</option> <option>17</option> <option>18</option> <option>19</option> <option>20</option> </select> </div> <div class="col-sm-6"></div> </div><!--row--> <div class="row"> <div class="col-sm-2"><label>Spinal Anaesthetic</label></div> <div class="col-sm-4"> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="spinal_anaesthetic"> <input type="checkbox" class="switch_1 spinal_anaesthe" value="Yes" name="spinal_anaesthetic" > </div> </div> <div class="col-sm-6"></div> </div><!--row--> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <div class="procedure-cse spinal_anaesthe_box" style="display:none;"> <span class="mb-2"><b>Local Anaesthetic</b></span> <div class="pac-box"> <div class="pacu-1"><p>Lignocaine</p></div> <div class="pacu-1-x"> <select class="form-control spinal_option1" name="spinal_lignoca_option1"> <option>Select</option> <option>Heavy</option> <option>Iso/Hypobaric</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_persent1" name="spinal_lignoca_persent1" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_ml1" name="spinal_lignoca_ml1" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_mg1" name="spinal_lignoca_mg1" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>Bupivacaine</p></div> <div class="pacu-1-x"> <select class="form-control spinal_option2" name="spinal_bupivaca_option2"> <option>Select</option> <option>Heavy</option> <option>Iso/Hypobaric</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_persent2" name="spinal_bupivaca_persent2" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_ml2" name="spinal_bupivaca_ml2" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_mg2" name="spinal_bupivaca_mg2" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>Ropivacaine</p></div> <div class="pacu-1-x"> <select class="form-control spinal_option3" name="spinal_ropivaca_option3"> <option>Select</option> <option>Heavy</option> <option>Iso/Hypobaric</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_persent3" name="spinal_ropivaca_persent3" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_ml3" name="spinal_ropivaca_ml3" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_mg3" name="spinal_ropivaca_mg3" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>Prilocaine</p></div> <div class="pacu-1-x"> <select class="form-control spinal_option4" name="spinal_priloca_option4"> <option>Select</option> <option>Heavy</option> <option>Iso/Hypobaric</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_persent4" name="spinal_priloca_persent4" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_ml4" name="spinal_priloca_ml4" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_mg4" name="spinal_priloca_mg4" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <div class="pac-box"> <div class="pacu-1"><p>2-chloroprocaine</p></div> <div class="pacu-1-x"> <select class="form-control spinal_option5" name="spinal_2chloropro_option5"> <option>Select</option> <option>Heavy</option> <option>Iso/Hypobaric</option> </select> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_persent5" name="spinal_2chloropro_persent5" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_ml5" name="spinal_2chloropro_ml5" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_mg5" name="spinal_2chloropro_mg5" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> <!-- <p>Other</p> --> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="spinal_anaesth_other"> <input type="checkbox" class="form-check-input spinal_anaesth_other" value="Yes" name="spinal_anaesth_other">Other </label> </div> <div class="pac-box spinal_anaesth_other_option" style="display:none;"> <div class="pacu-1"><p>Name</p></div> <div class="pacu-1-x"> <input type="text" class="form-control spinal_anaesth_other_input" name="spinal_other_input6"> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_persent6" name="spinal_other_persent6" ><span style="padding-top:5px;">%</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_ml6" name="spinal_other_ml6" ><span style="padding-top:5px;">ml</span> </div> <div class="pacu-1" id="id"> <input type="text" class="form-control spinal_mg6" name="spinal_other_mg6" ><span style="padding-top:5px;">mg</span> </div> </div><!--pac-box--> </div><!--procedure-cse--> </div> </div><!--row--> <div class="row pt"> <div class="col-sm-2"> <label>Adjuvant</label> </div> <div class="col-sm-2"> <div class= "box_1"> <input type="checkbox" class="switch_1 spinal_adjuvant"> </div> </div> <div class="col-sm-8"></div> </div><!--row--> <div class="row spinal_adjuvant_box" style="display:none;" > <div class="col-sm-2"></div> <div class="col-sm-10"> <div class="pt" id="proced-plus" style="border: 1px solid lightgrey;border-radius: 8px;padding: 10px;"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_opioid_check" >Opioid </label> </div> <div class="opioid spinal_opioid mt-2" style="display:none;" > <div class="row" style="margin-left:3%;"> <button type="button" class="btn add4" ><i class="fa fa-plus" aria-hidden="true"></i></button> </div><!--row--> <div class="opioid"> <?php $aso = $info['aj_spinal_opioid']; $ajso = json_decode($aso, true); foreach($ajso as $key=>$val){ ?> <div class="row31"> <div class="row" style="margin-left:3%;"> <div class="col-sm-5"><span>Opioid Name</span></div> <div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="spinal_opioid_name[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove44"><i class="fa fa-times" aria-hidden="true"></i></button></div> </div><!--row--> <div class="row pt" style="margin-left:3%;"> <div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div> <div class="col-sm-7"><input type="text" class="form-control" name="spinal_opioid_dose[]" value="<?php echo $val['dose']; ?>"></div> </div><!--row--> </div> <?php } ?> </div> </div> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_clonidne" value="">Clonidne with Dose(mcgm) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control spinal_clonidne_input" placeholder="mcgm" name="spinal_clonidne_dose" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_dexmedito" value="">Dexmeditomidine with Dose(mcgm) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control spinal_dexmedito_input" name="spinal_dexmedito_dose" placeholder="mcgm" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_dexametha" value="">Dexamethasone with Dose(mg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control spinal_dexametha_input" name="spinal_dexametha_dose" placeholder="mg" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_tramadol" value="">Tramadol with Dose(mg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control spinal_tramadol_input" name="spinal_tramadol_dose" placeholder="mg" readonly></div> </div><!--row--> <div class="row pt"> <div class="col-sm-5"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_adrenaline" value="">Adrenaline(Epinephrine)(mcmg) </label> </div> </div> <div class="col-sm-7"><input type="text" class="form-control spinal_adrenaline_input" name="spinal_adrenaline_dose" placeholder="mcmg" readonly></div> </div><!--row--> <div class="row"> <div class="col-sm-8"> <div class="form-check"> <label class="form-check-label"> <input type="checkbox" class="form-check-input spinal_other" value="">Other </label> </div> <div class="spinal_other_box" style="display:none;"> <div class="row pt"> <button type="button" class="btn add5" ><i class="fa fa-plus" aria-hidden="true"></i></button> </div> <div class="opioid"> <?php $ajso = $info['aj_spinal_other']; $ajsoth = json_decode($ajso, true); foreach($ajsoth as $key=>$val){ ?> <div class="row41 mt-2"> <div class="row" style="margin-left:3%;"> <div class="col-sm-5"><span>Adjuvant Name</span></div> <div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="spinal_aj_name[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove55"><i class="fa fa-times" aria-hidden="true"></i></button></div> </div><!--row--> <div class="row pt" style="margin-left:3%;"> <div class="col-sm-5"><span>Adjuvant Dose(mg)</span></div> <div class="col-sm-7"><input type="text" class="form-control" name="spinal_aj_dose[]" value="<?php echo $val['dose']; ?>"></div> </div><!--row--> </div> <?php } ?> </div> </div> </div> </div><!--row--> </div> </div><!--col-10--> </div><!--row--> <label class="pt">Analgesia supplementation required<span class="mandat">*</span></label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <div class= "box_1"> <input type="checkbox" class="switch_1 spinal_analgesia_supplement"> </div> <div class="analg-box spinal_analgesia_supplement_box" style="display:none;"> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_spinal_inhalation"> <input type="checkbox" class="form-check-input asr_spinal_inhalation" name="asr_spinal_inhalation" value="Yes">Inhalation Analgesia </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_spinal_iv_analgesia"> <input type="checkbox" class="form-check-input spinal_iv_analgesia" value="Yes" name="asr_spinal_iv_analgesia">IV Analgesia </label> </div> <div class="spinal_iv_analgesia_box" style="display:none;"> <div class="form-check" style="margin-left: 3%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_opioids_spinal"> <input type="checkbox" class="form-check-input spinal_opioid_supplemen" value="Yes" name="asr_opioids_spinal">Opioids </label> </div> <div class="spinal_opioid_supplemen_box mt-2" style="display:none;" > <div class="row" style="margin-left:3%;"> <button type="button" class="btn add6" id="proced-plus" ><i class="fa fa-plus" aria-hidden="true"></i></button> </div><!--row--> <div class="opioids"> <?php $ws = $info['asr_opioids_name_dose']; $kk = json_decode($ws, true); foreach($kk as $key=>$val){ ?> <div class="row51"> <div class="row" style="margin-left: 3%;"> <div class="col-sm-5"> <span>Opioid Name</span> </div> <div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="asr_opioid_name_spinal[]" value="<?php echo $val['name']; ?>"><button type="button" class="btn remove66"><i class="fa fa-times" aria-hidden="true"></i></button></div> </div><!--row--> <div class="row pt" style="margin-left: 3%;"> <div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div> <div class="col-sm-7"><input type="text" class="form-control" name="asr_opioid_dose_spinal[]" value="<?php echo $val['dose']; ?>"></div> </div><!--row--> </div> <?php } ?> </div><!--opioids ends--> </div> <div class="form-check" style="margin-left: 3%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_multi_modal"> <input type="checkbox" class="form-check-input spinal_multi_model" value="Yes" name="asr_multi_modal">Multi-Modal Analgesia </label> </div> <div class="spinal_multi_model_box" style="display:none;"> <div class="form-check" style="margin-left: 5%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_ketamine"> <input type="checkbox" class="form-check-input asr_ketamine" value="Yes" name="asr_ketamine">Ketamine </label> </div> <!-- <div class="form-check" style="margin-left: 5%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_dexmedetomi"> <input type="checkbox" class="form-check-input asr_dexmedetomi" value="Yes" name="asr_dexmedetomi">Dexmedetomidine </label> </div> <div class="form-check" style="margin-left: 5%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_clonidine"> <input type="checkbox" class="form-check-input asr_clonidine" value="Yes" name="asr_clonidine">Clonidine </label> </div> <div class="form-check" style="margin-left: 5%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_tramadol"> <input type="checkbox" class="form-check-input asr_tramadol" value="Yes" name="asr_tramadol">Tramadol </label> </div> <div class="form-check" style="margin-left: 5%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_magnesium"> <input type="checkbox" class="form-check-input asr_magnesium" value="Yes" name="asr_magnesium">Magnesium </label> </div> --> <div class="form-check" style="margin-left: 5%;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="asr_other_iv"> <input type="checkbox" class="form-check-input spinal_adju" value="Yes" name="asr_other_iv">Other IV Adjuncts </label> </div> <div class="spinal_adju_box mt-2" style="display:none;"> <?php $bg = $info['asr_other_iv_aj']; $bg1 = json_decode($bg, true); foreach($bg1 as $key=>$val){ ?> <div class="row"> <div class="col-sm-1"></div> <div class="col-sm-3"><label>Adjuvant Name</label></div> <div class="col-sm-4"> <input type="text" class="form-control" name="asr_name_aj" value="<?php echo $val['name']; ?>"> </div> <div class="col-sm-4"></div> </div> <div class="row pt"> <div class="col-sm-1"></div> <div class="col-sm-3"><label>Adjuvant Dose(mg)</label></div> <div class="col-sm-4"> <input type="text" class="form-control" name="asr_name_dose" value="<?php echo $val['dose']; ?>"> </div> <div class="col-sm-4"></div> </div> <?php } ?> </div> </div> </div> </div> </div><!--col-10--> </div><!--row--> <label class="pt">Technical complications<span class="mandat">*</span> <!-- <a href="#" data-toggle="tooltip" title=""><i class="fa fa-info-circle" aria-hidden="true"></i></a> --></label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <div class= "box_1"> <input type="checkbox" class="switch_1 tech_complication_check"> </div> <div class="tech-compli tech_complication_checkbox" style="display:none;"> <ul style="margin-bottom:0px;padding-left: 0;"> <li> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="complication_equipment"> <input type="checkbox" class="form-check-input complication_equipment" value="Yes" name="complication_equipment">Equipment related </label> </div> </li> </ul> <ul style="margin-bottom:0px;padding-left: 0;"> <li> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="complication_multi_attempts"> <input type="checkbox" class="form-check-input complication_multi_attempts" value="Yes" name="complication_multi_attempts">Multiple attempts </label> </div> </li> </ul> <ul style="margin-bottom:0px;padding-left: 0;"> <li> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="complication_2nd_anaesthe"> <input type="checkbox" class="form-check-input complication_2nd_anaesthe" value="Yes" name="complication_2nd_anaesthe">2nd Anaesthetist </label> </div> </li> </ul> <ul style="margin-bottom:0px;padding-left: 0;"> <li> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="complication_failure_space"> <input type="checkbox" class="form-check-input complication_failure_space" value="Yes" name="complication_failure_space">Technique abandoned/failure to find space </label> </div> </li> </ul> <ul style="margin-bottom:0px;padding-left: 0;"> <li> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="complication_catheter"> <input type="checkbox" class="form-check-input complication_catheter" value="Yes" name="complication_catheter">Catheter related </label> </div> </li> </ul> <ul style="margin-bottom:0px;padding-left: 0;"> <li> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="complication_other_check"> <input type="checkbox" class="form-check-input spinal_technical_other" value="Yes" name="complication_other_check">Other </label> </div> </li> </ul> <ul style="margin-bottom:0px;padding-left: 0;"> <li style="display:none;" class="spinal_technical_input"> <input type="text" class="form-control complication_other" name="complication_other" > </li> </ul> </div> </div> </div><!--row--> <label class="pt">Acute complications<span class="mandat">*</span></label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-10"> <div class= "box_1"> <input type="checkbox" class="switch_1 spinal_acute_multi_option"> </div> <div class="spinal_acute_multi_option_box" style="display:none;"> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_epidural_resited"> <input type="checkbox" class="form-check-input ac_epidural_resited" value="Yes" name="ac_epidural_resited">Epidural re-sited </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_last"> <input type="checkbox" class="form-check-input ac_last" value="Yes" name="ac_last">Local Anaesthetic systemic toxicity(LAST) </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_rasicular_pain"> <input type="checkbox" class="form-check-input ac_rasicular_pain" value="Yes" name="ac_rasicular_pain">Radicular Pain (needle/catheter) </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_paresthesia_pain"> <input type="checkbox" class="form-check-input ac_paresthesia_pain" value="Yes" name="ac_paresthesia_pain">Paresthesia (needle/catheter) </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_bloody_tap"> <input type="checkbox" class="form-check-input ac_bloody_tap" value="Yes" name="ac_bloody_tap">Bloody Tap (needle/catheter) </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name=""> <input type="checkbox" class="form-check-input" value="Yes" name="">Intrathecal migration of epidural catheter </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_hypotension"> <input type="checkbox" class="form-check-input ac_hypotension" value="Yes" name="ac_hypotension">Hypotension <!-- <a href="#" class="tip" data-toggle="tooltip" data-placement="bottom" title="20% drop from baseline or SBP,90mmHg"><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> <div class="tooltip-5"> <i class="fa fa-info-circle" aria-hidden="true"></i> <div class="right-5"> <div class="text-content-5"> <h6>20% drop from baseline or SBP,90mmHg.</h6> <i></i> </div> </div> </div> </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_nausea"> <input type="checkbox" class="form-check-input ac_nausea" value="Yes" name="ac_nausea">Nausea </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_vomiting"> <input type="checkbox" class="form-check-input ac_vomiting" value="Yes" name="ac_vomiting">Vomiting </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_high_block"> <input type="checkbox" class="form-check-input ac_high_block" value="Yse" name="ac_high_block">High Block <!-- <a href="#" data-toggle="tooltip" title="hi"><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_subdural_block"> <input type="checkbox" class="form-check-input ac_subdural_block" value="Yes" name="ac_subdural_block">Subdural Block </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_total_spinal"> <input type="checkbox" class="form-check-input ac_total_spinal" value="Yes" name="ac_total_spinal">Total Spinal <!-- <a href="#" data-toggle="tooltip" title="hi"><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_respira_arrest"> <input type="checkbox" class="form-check-input ac_respira_arrest" value="Yes" name="ac_respira_arrest">Respiratory Arrest </label> </div> <div class="form-check"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_cardiac_arrest"> <input type="checkbox" class="form-check-input ac_cardiac_arrest" value="Yes" name="ac_cardiac_arrest">Cardiac Arrest </label> </div> <div class="form-check" style="display: flex;"> <label class="form-check-label"> <input type="hidden" class="switch_1" value="No" name="ac_other"> <input type="checkbox" class="form-check-input spinal_acute_other" value="Yes" name="ac_other">Other </label> <input type="text" class="form-control spinal_acute_other_input ml-3" name="ac_other_input" style="width: 30%;display:none;"> </div> </div> </div> </div><!--row--> <label class="pt">Success<span class="mandat">*</span><!-- <a href="#" data-toggle="tooltip" data-placement="bottom" class="tip" title="Please consider the purpose of CNB along with the below definition Purpose of CNB 1: Sole/Primary anaesthetic 2: Analgesic purpose only.Success is defined as successful puncture and injection of Local anaesthetics in the desired neuraxial space along with development of block characteristics of sensory and/or motor blockade."><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> <div class="tooltip-6"> <i class="fa fa-info-circle" aria-hidden="true"></i> <div class="right-6"> <div class="text-content-6"> <h6>Please consider the purpose of CNB along with the below definition Purpose of CNB 1: Sole/Primary anaesthetic 2: Analgesic purpose only.Success is defined as successful puncture and injection of Local anaesthetics in the desired neuraxial space along with development of block characteristics of sensory and/or motor blockade.</h6> <i></i> </div> </div> </div> </label> <div class="row"> <div class="col-sm-2"></div> <div class="col-sm-6"> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" id="com" value="Complete Success" name="success_option" onclick="complete()">Complete Success<!-- <a href="#" class="tip" data-toggle="tooltip" title="Complete Success: With the above condition being met, the purpose of CNB should be met adequately without any significant requirements of intravenous or inhalational anaesthetics, hypnotics and analgesics to perform the surgery.Use of the above agents in minimal amounts to provide patient comfort for incidental discomfort is acceptable.If used as analgesic purpose only, the cumulative intra-operative and postoperative opioids requirements should be nil or very minimal."><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> <div class="tooltip-7"> <i class="fa fa-info-circle" aria-hidden="true"></i> <div class="right-7"> <div class="text-content-7"> <h6>Complete Success: With the above condition being met, the purpose of CNB should be met adequately without any significant requirements of intravenous or inhalational anaesthetics, hypnotics and analgesics to perform the surgery.Use of the above agents in minimal amounts to provide patient comfort for incidental discomfort is acceptable.If used as analgesic purpose only, the cumulative intra-operative and postoperative opioids requirements should be nil or very minimal.</h6> <i></i> </div> </div> </div> </label> </div> <ul class="success-list"> <li>Onset</li> <li><input type="text" class="form-control" name="comp1ete_success_onset" id="com1" readonly></li> <li>(Mins)</li> </ul> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" id="par" value="Partial Success" name="success_option" onclick="partial()">Partial Success<!-- <a href="#" data-toggle="tooltip" data-placement="bottom" class="tip" title="Partial Succes: With the above block success definition being satisfied, the purpose of CNB is being met with some additional intravenous analgesics / inhalationals including but not restricted to LA infiltration, opioids, ketamine, hypnotics.If used as analgesic purpose only, the cumulative intra-operative and postoperative pain and opioids requirements are moderate."><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> <div class="tooltip-8"> <i class="fa fa-info-circle" aria-hidden="true"></i> <div class="right-8"> <div class="text-content-8"> <h6>Partial Succes: With the above block success definition being satisfied, the purpose of CNB is being met with some additional intravenous analgesics / inhalationals including but not restricted to LA infiltration, opioids, ketamine, hypnotics.If used as analgesic purpose only, the cumulative intra-operative and postoperative pain and opioids requirements are moderate.</h6> <i></i> </div> </div> </div> </label> </div> <ul class="success-list"> <li>Onset</li> <li><input type="text" class="form-control" name="partial_success_onset" id="par1" readonly></li> <li>(Mins)</li> </ul> <div class="form-check"> <label class="form-check-label"> <input type="radio" class="form-check-input" value="Failure" name="success_option" id="fail" onclick="failure()">Failure<!-- <a href="#" data-toggle="tooltip" data-placement="bottom" class="tip" title="Failure: Defined as failure to enter the required space, failure to achieve required sensory /motor block. Conversion to GA or very high opioid/ ketamine or hypnotic requirements."><i class="fa fa-info-circle" aria-hidden="true"></i></a> --> <div class="tooltip-9"> <i class="fa fa-info-circle" aria-hidden="true"></i> <div class="right-9"> <div class="text-content-9"> <h6>Failure: Defined as failure to enter the required space, failure to achieve required sensory /motor block. Conversion to GA or very high opioid/ ketamine or hypnotic requirements.</h6> <i></i> </div> </div> </div> </label> </div> </div> <div class="col-sm-4"></div> </div><!--row--> <label class="pt">Sensory Level<span class="mandat">*</span><a href="#" class="tip" data-toggle="tooltip" data-placement="bottom" title="Content not provided"><i class="fa fa-info-circle" aria-hidden="true"></i></a></label> <div class="row"> <div class="col-sm-6"> <div class="sensor-table"> <div class="table-responsive"> <table class="table table-bordered"> <thead> <tr> <th></th> <th colspan="2">Cold</th> <th colspan="2">Touch</th> <th colspan="2">Pin Prick</th> </tr> <tr> <th></th> <th>L</th> <th>R</th> <th>L</th> <th>R</th> <th>L</th> <th>R</th> </tr> </thead> <tbody> <tr> <td>>CB</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T1</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T2</td> <td id="bg-t2"></td> <td id="bg-t2"></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T3</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T4</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T5</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T6</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T7</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T8</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T9</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T10</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T11</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>T12</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>L1</td> <td id="bg-l1"></td> <td id="bg-l1"></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>>L1</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> </tbody> </table> </div> </div><!--sensor-table--> <div class="index-color"> <ul> <li><div class="highest"></div></li> <li><span>Highest Sensory Level</span></li> </ul> <ul> <li><div class="lowest"></div></li> <li><span>Lowest Sensory Level</span></li> </ul> </div> </div> <div class="col-sm-6"> <img src="<?php echo base_url('assets/images/Dermo.png'); ?>" class="img-fluid d-block mx-auto"> </div> </div><!--row--> <h4><b>Motor Level (Bromage Score)<span class="mandat">*</span></b></h4> <div class="row"> <div class="col-sm-3"></div> <div class="col-sm-6"> <select class="form-control motor_level" name="motor_level"> <option>Select</option> <option>0(Free movement of legs and feet)</option> <option>1(Just able to fix knees with free movement of feet)</option> <option>2(Unable to flex Knees,but with free movement of feet)</option> <option>3(Unable to move legs or feet)</option> </select> <img src="<?php echo base_url('assets/images/Bromo.png'); ?>" class="img-fluid d-block mx-auto"> </div> <div class="col-sm-3"></div> </div><!--row--> <div class="duration"> <ul> <li><label>Onset of surgical Anaesthesia</label></li> <li><input type="text" class="form-control" name=""></li> <li><label>mins</label></li> </ul> </div><!--row--> <div class="duration"> <ul> <li><label>Duration of Surgery</label></li> <li><input type="text" class="form-control duration_of_surgery" name="duration_of_surgery"></li> <li><label>mins</label></li> </ul> </div><!--row--> <div class="duration"> <ul> <li><label>Blood Loss</label></li> <li><input type="text" class="form-control blood_loss" name="blood_loss"></li> <li><label>ml</label></li> </ul> </div><!--row--> <div class="duration"> <ul> <li><label>Vasopressor Use</label></li> <li> <div class= "box_1"> <input type="hidden" class="switch_1" value="No" name="vasopressor_use"> <input type="checkbox" class="switch_1 vasopressor_use" value="Yes" name="vasopressor_use"> </div> </li> </ul> </div><!--row--> <div class="row"> <div class="col-sm-7"></div> <div class="col-sm-5"> <button type="submit" class="btn-save update">Update</button> <button type="button" class="btn-close">Reset</button> </div> </div><!--row--> </form> </div><!--modal-body--> </div> </div> </div> </section><!--edit-combined-spinal--> <!------------------------------------------EDIT-COMBINED-SPINAL-START----------------------------> <script> function show(){ $("#option_e").show(); } function hide(){ $("#option_e").hide(); } var patient_status1 = "<?php echo $info['patient_status']; ?>"; var patient_status = patient_status1.split(' - '); // alert(patient_status[0]); if(patient_status[0] == "Awake"){ $('#awake_e')[0].checked = true; $('#option_e').hide(); }else if(patient_status[0]=="Sedation"){ $('#sedation_e')[0].checked = true; $('#option_e').show(); $('#sedation_opt_e').val(patient_status[1]); }else{ $('#ga_e')[0].checked = true; $('#option_e').hide(); } var patient_position = "<?php echo $info['patient_position']; ?>"; $('#patient_position_e').val(patient_position); var wearing_mask = "<?php echo $info['wearing_mask']; ?>"; var hand_washing = "<?php echo $info['hand_washing']; ?>"; var sterile_gown = "<?php echo $info['sterile_gown']; ?>"; var sterile_draping = "<?php echo $info['sterile_draping']; ?>"; if(wearing_mask =="Yes"){ $('#wearing_mask_e').attr("checked",true); } if(hand_washing =="Yes"){ $('#hand_washing_e').attr("checked",true); } if(sterile_gown =="Yes"){ $('#sterile_gown_e').attr("checked",true); } if(sterile_draping =="Yes"){ $('#sterile_draping_e').attr("checked",true); } var skin_prepartion = "<?php echo $info['skin_prepartion']; ?>"; var cse_technique = "<?php echo $info['cse_technique']; ?>"; var anatomical_landmark = "<?php echo $info['anatomical_landmark']; ?>"; $('#skin_prep_e').val(skin_prepartion); $('#cse_tech_e').val(cse_technique); $('#landmark_e').val(anatomical_landmark); var epidural_level = "<?php echo $info['epidural_level']; ?>"; var epidural_level_name ="<?php echo $info['epidural_level_name']; ?>"; // alert(epidural_level); $('#epidural_level_input').val(epidural_level); $('.epidural_level_name').val(epidural_level_name); $('.'+epidural_level+'').css("background", "red").css("color", "white"); $(".epidural_level"). click(function() { var epidural_level = $(this).val(); $(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black"); $('#epidural_level_input').val(epidural_level); }); function ultra(){ var ult = $('#epidural_ultra_sound').is(':checked'); if(!ult){ $('.epidural_ultrasound').hide(); } else{ $(".epidural_ultrasound").show(); } } var ultrasound = "<?php echo $info['ultrasound']; ?>"; var probe = "<?php echo $info['probe_cover']; ?>"; var image = "<?php echo $info['image_quality']; ?>"; if(ultrasound == "Yes"){ $('#epidural_ultra_sound').attr("checked",true); $('.epidural_ultrasound').show(); $('#epidural_probe_cover').val(probe); $('#epidural_image_quality').val(image); } $('.epidural_needel_brand_other').change(function(){ var input = $('.epidural_needel_brand_other').val(); if(input == "Other"){ $('.epidural_needel_brand_other_input').show(); }else{ $('.epidural_needel_brand_other_input').hide(); } }); var epidural_needle_brand = "<?php echo $info['needle_brand']; ?>"; var epidural_needle_brand1 = epidural_needle_brand.split(' - '); if(epidural_needle_brand1[0] == 'Other'){ $('.epidural_needel_brand_other_input').show(); $('.epidural_needel_brand_other_input').val(epidural_needle_brand1[1]); $('.epidural_needel_brand_other').val(epidural_needle_brand1[0]); }else{ $('.epidural_needel_brand_other').val(epidural_needle_brand); } $('.epidural_needel_type_other').change(function(){ var input = $('.epidural_needel_type_other').val(); // alert(input); if(input == "Other"){ $('.epidural_needel_type_other_input').show(); }else{ $('.epidural_needel_type_other_input').hide(); } }); var epidural_needle_type = "<?php echo $info['needle_type']; ?>"; var epidural_needle_type1 = epidural_needle_type.split(' - '); if(epidural_needle_type1[0] == 'Other'){ $('.epidural_needel_type_other_input').show(); $('.epidural_needel_type_other_input').val(epidural_needle_type1[1]); $('.epidural_needel_type_other').val(epidural_needle_type1[0]); }else{ $('.epidural_needel_type_other').val(epidural_needle_type); } var epidural_needle_size = "<?php echo $info['needle_size']; ?>"; $('.epidural_needle_size').val(epidural_needle_size); var epidural_lor_saline = "<?php echo $info['lor_saline']; ?>"; var epidural_lor_air = "<?php echo $info['lor_air']; ?>"; var epidural_hanging_drop = "<?php echo $info['hanging_drop']; ?>"; if(epidural_lor_saline =="LOR Saline"){ $('#lor_saline').attr("checked",true); } if(epidural_lor_air =="LOR Air"){ $('#lor_air').attr("checked",true); } if(epidural_hanging_drop =="Hanging Drop"){ $('#hanging_drop').attr("checked",true); } function oth(){ var oth = $('#other').is(':checked'); if(!oth){ $('.other_input').hide(); } else{ $(".other_input").show(); } } $(document).ready(function(){ var i=1, j=1, k=1, l=1, m=1, n=1; $(".add1").click(function(){ if(i<3){ i++; $(".other_input").append('<div class="row mt-2"><div class="col-sm-12" id="proced-plus" style="display:flex;"><input type="text" class="form-control " name="others[]"><button type="button" class="btn remove1"><i class="fa fa-times" aria-hidden="true"></i></button></div></div>'); } }); $(".add2").click(function(){ if(j<3){ j++; $(".append_fun").append('<div class="row1 mt-2"><div class="row" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Name</span></div><div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="epidural_opioid_name[]" ><button type="button" class="btn remove2"><i class="fa fa-times" aria-hidden="true"></i></button></div></div><div class="row pt" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="epidural_opioid_dose[]" ></div></div></div>'); } }); $(".add3").click(function(){ if(k<3){ k++; $(".other9").append('<div class="row2"><div class="row pt"><div class="col-sm-4"><span>Adjuvant Name</span></div><div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="epidural_aj_name[]"><button type="button" class="btn remove3"><i class="fa fa-times" aria-hidden="true"></i></button></div><div class="col-sm-1"></div></div><div class="row pt"><div class="col-sm-4"><span>Adjuvant Dose(mg)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="epidural_aj_dose[]"></div><div class="col-sm-1"></div></div></div>'); } }); $(".add4").click(function(){ if(l<3){ l++; $(".spinal_opioid").append('<div class="row3 mt-2"><div class="row" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Name</span></div><div class="col-sm-7" style="display:flex;"><input type="text" class="form-control" name="spinal_opioid_name[]" ><button type="button" class="btn remove4"><i class="fa fa-times" aria-hidden="true"></i></button></div></div><div class="row pt" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="spinal_opioid_dose[]" ></div></div></div>'); } }); $(".add5").click(function(){ if(m<3){ m++; $(".spinal_other_box").append('<div class="row4"><div class="row pt"><div class="col-sm-4"><span>Adjuvant Name</span></div><div class="col-sm-7" id="proced-plus" style="display: flex;"><input type="text" class="form-control" name="spinal_aj_name[]"><button type="button" class="btn remove5"><i class="fa fa-times" aria-hidden="true"></i></button></div><div class="col-sm-1"></div></div><div class="row pt"><div class="col-sm-4"><span>Adjuvant Dose(mg)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="spinal_aj_dose[]"></div><div class="col-sm-1"></div></div></div>'); } }); $(".add6").click(function(){ if(n<3){ n++; $(".spinal_opioid_supplemen_box").append('<div class="row5 mt-2"><div class="row" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Name</span></div><div class="col-sm-7" id="proced-plus" style="display:flex;"><input type="text" class="form-control" name="asr_opioid_name_spinal[]" ><button type="button" class="btn remove6"><i class="fa fa-times" aria-hidden="true"></i></button></div></div><div class="row pt" style="margin-left:3%;"><div class="col-sm-5"><span>Opioid Dose(microgram equivalent)</span></div><div class="col-sm-7"><input type="text" class="form-control" name="asr_opioid_dose_spinal[]" ></div></div></div>'); } }); $(document).on('click','.remove1',function(){ i--; $(this).closest('.row').remove(); }); $(document).on('click','.remove2',function(){ j--; $(this).closest('.row1').remove(); }); $(document).on('click','.remove3',function(){ k--; $(this).closest('.row2').remove(); }); $(document).on('click','.remove4',function(){ l--; $(this).closest('.row3').remove(); }); $(document).on('click','.remove5',function(){ m--; $(this).closest('.row4').remove(); }); $(document).on('click','.remove6',function(){ n--; $(this).closest('.row5').remove(); }); $(document).on('click','.remove11',function(){ $(this).closest('.row1').remove(); }); $(document).on('click','.remove22',function(){ $(this).closest('.row11').remove(); }); $(document).on('click','.remove33',function(){ $(this).closest('.row21').remove(); }); $(document).on('click','.remove44',function(){ l--; $(this).closest('.row31').remove(); }); $(document).on('click','.remove55',function(){ l--; $(this).closest('.row41').remove(); }); $(document).on('click','.remove66',function(){ l--; $(this).closest('.row51').remove(); }); }); var ca = "<?php echo $info['epidural_other']; ?>"; if(ca){ $('#other').attr("checked",true); $(".other_input").show(); } var epidural_approach = "<?php echo $info['approach']; ?>"; var epidural_attempts = "<?php echo $info['no_attempts']; ?>"; var epidral_depth = "<?php echo $info['epidral_depth']; ?>"; $('.epidural_approach').val(epidural_approach); $('.epidural_attempts').val(epidural_attempts); $('.epidural_depth').val(epidral_depth); function catheter(){ var catheter = $('.catheter').is(':checked'); if(!catheter){ $('.catheter_fild').hide(); } else{ $(".catheter_fild").show(); } } $('#epidural_single').click(function(){ var epidural_clonidne =$('#epidural_single').is(':checked'); if(!epidural_clonidne){ $(".catheter_fild").show(); } else{ $('.catheter_fild').hide(); } }); var epidural_tech = "<?php echo $info['technique']; ?>"; var epidural_technique = epidural_tech.split(' - '); if(epidural_technique[0] == "Single Shot"){ $('#epidural_single')[0].checked = true; $('.catheter_fild').hide(); }else{ $('.catheter')[0].checked = true; $('.catheter_fild').show(); $('.epidural_catheter').val(epidural_technique[1]); } var test_dose = "<?php echo $info['test_dose']; ?>"; if(test_dose =="Yes"){ $('.test_dose').attr("checked",true); } var intra_operative_la = "<?php echo $info['la_regimen']; ?>"; $('.intra_operative_la').val(intra_operative_la); // -------------------------------------------------calculation for mg convertion-------------------------------- $(".epidural_ml1").keyup(function(){ var persent = $('.epidural_persent1').val(); var ml = $('.epidural_ml1').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg1').val(mg); }); $(".epidural_persent1").keyup(function(){ var persent = $('.epidural_persent1').val(); var ml = $('.epidural_ml1').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg1').val(mg); }); $(".epidural_ml2").keyup(function(){ var persent = $('.epidural_persent2').val(); var ml = $('.epidural_ml2').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg2').val(mg); }); $(".epidural_persent2").keyup(function(){ var persent = $('.epidural_persent2').val(); var ml = $('.epidural_ml2').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg2').val(mg); }); $(".epidural_ml3").keyup(function(){ var persent = $('.epidural_persent3').val(); var ml = $('.epidural_ml3').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg3').val(mg); }); $(".epidural_persent3").keyup(function(){ var persent = $('.epidural_persent3').val(); var ml = $('.epidural_ml3').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg3').val(mg); }); $(".epidural_ml4").keyup(function(){ var persent = $('.epidural_persent4').val(); var ml = $('.epidural_ml4').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg4').val(mg); }); $(".epidural_persent4").keyup(function(){ var persent = $('.epidural_persent4').val(); var ml = $('.epidural_ml4').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.epidural_mg4').val(mg); }); // ----------------------------------------------------calculation conver to mg (END)--------------------------------------- var epidural_ropi = "<?php echo $info['la_ropivacaine']; ?>"; var epidural_ropi_split = epidural_ropi.split(','); $('.epidural_option1').val(epidural_ropi_split[0]); $('.epidural_persent1').val(epidural_ropi_split[1]); $('.epidural_ml1').val(epidural_ropi_split[2]); $('.epidural_mg1').val(epidural_ropi_split[3]); var epidural_bupiva = "<?php echo $info['la_bupivacaine']; ?>"; var epidural_bupiva_split = epidural_bupiva.split(','); $('.epidural_option2').val(epidural_bupiva_split[0]); $('.epidural_persent2').val(epidural_bupiva_split[1]); $('.epidural_ml2').val(epidural_bupiva_split[2]); $('.epidural_mg2').val(epidural_bupiva_split[3]); var epidural_levobu = "<?php echo $info['la_levobupivacaine']; ?>"; var epidural_levobu_split = epidural_levobu.split(','); $('.epidural_option3').val(epidural_levobu_split[0]); $('.epidural_persent3').val(epidural_levobu_split[1]); $('.epidural_ml3').val(epidural_levobu_split[2]); $('.epidural_mg3').val(epidural_levobu_split[3]); var epidural_ligno = "<?php echo $info['la_lignocaine']; ?>"; var epidural_ligno_split = epidural_ligno.split(','); $('.epidural_option4').val(epidural_ligno_split[0]); $('.epidural_persent4').val(epidural_ligno_split[1]); $('.epidural_ml4').val(epidural_ligno_split[2]); $('.epidural_mg4').val(epidural_ligno_split[3]); function epidural_adjuvant(){ var epidural_adjuvant = $('.epidural_adjuvant').is(':checked'); if(!epidural_adjuvant){ $('.epidural_adjuvant_check').hide(); }else{ $('.epidural_adjuvant_check').show(); } } function epidural_opioid(){ var epidural_opioid = $('.epidural_opioid').is(':checked'); if(!epidural_opioid){ $('.opioid').hide(); }else{ $('.opioid').show(); } } $('#epidural_clonidne').click(function(){ var epidural_clonidne =$('#epidural_clonidne').is(':checked'); if(!epidural_clonidne){ $(".epidural_clonidne_input").attr("readonly", true); } else{ $('.epidural_clonidne_input').removeAttr("readonly"); } }); $('.epidural_dexme').click(function(){ var epidural_clonidne =$('.epidural_dexme').is(':checked'); if(!epidural_clonidne){ $(".epidural_dexme_input").attr("readonly", true); } else{ $('.epidural_dexme_input').removeAttr("readonly"); } }); $('.epidural_dexamethasone').click(function(){ var epidural_clonidne =$('.epidural_dexamethasone').is(':checked'); if(!epidural_clonidne){ $(".epidural_dexamethasone_input").attr("readonly", true); } else{ $('.epidural_dexamethasone_input').removeAttr("readonly"); } }); $('.epidural_trama').click(function(){ var epidural_clonidne =$('.epidural_trama').is(':checked'); if(!epidural_clonidne){ $(".epidural_trama_input").attr("readonly", true); } else{ $('.epidural_trama_input').removeAttr("readonly"); } }); $('.epidural_ketamine').click(function(){ var epidural_clonidne =$('.epidural_ketamine').is(':checked'); if(!epidural_clonidne){ $(".epidural_ketamine_input").attr("readonly", true); } else{ $('.epidural_ketamine_input').removeAttr("readonly"); } }); $('.epidural_midazolam').click(function(){ var epidural_clonidne =$('.epidural_midazolam').is(':checked'); if(!epidural_clonidne){ $(".epidural_midazolam_input").attr("readonly", true); } else{ $('.epidural_midazolam_input').removeAttr("readonly"); } }); $('.epidural_adrenaline').click(function(){ var epidural_clonidne =$('.epidural_adrenaline').is(':checked'); if(!epidural_clonidne){ $(".epidural_adrenaline_input").attr("readonly", true); } else{ $('.epidural_adrenaline_input').removeAttr("readonly"); } }); $('.epidural_other').click(function(){ var epidural_clonidne =$('.epidural_other').is(':checked'); if(!epidural_clonidne){ $(".epidural_other_box").hide(); } else{ $('.epidural_other_box').show(); } }); var ccc = "<?php echo $info['opioid_name']; ?>"; var qqq = "<?php echo $info['clonidina_dose']; ?>"; var vcs = "<?php echo $info['dexmeditomidine_dose']; ?>"; var qrq = "<?php echo $info['dexamephasone_dose']; ?>"; var mm = "<?php echo $info['tramadol_dose']; ?>"; var mu = "<?php echo $info['kepamine_dose']; ?>"; var qvc = "<?php echo $info['midazolam_dose']; ?>"; // var qtq = "<?php echo $info['other7']; ?>"; if((ccc)||(qqq)||(vcs)||(qrq)||(mm)||(mu)||(qvc)){ $('.epidural_adjuvant').attr("checked",true); $('.epidural_adjuvant_check').show(); } var caa = "<?php echo $info['opioid_name']; ?>"; if(caa){ $('.epidural_opioid').attr("checked",true); $('.append_fun').show(); } var cl = "<?php echo $info['clonidina_dose']; ?>"; if(cl){ $('#epidural_clonidne').attr("checked",true); $('.epidural_clonidne_input').removeAttr("readonly"); $('.epidural_clonidne_input').val(cl); } var dexs = "<?php echo $info['dexmeditomidine_dose']; ?>"; if(dexs){ $('.epidural_dexme').attr("checked",true); $('.epidural_dexme_input').removeAttr("readonly"); $('.epidural_dexme_input').val(dexs); } var dexas = "<?php echo $info['dexamephasone_dose']; ?>"; if(dexas){ $('.epidural_dexamethasone').attr("checked",true); $('.epidural_dexamethasone_input').removeAttr("readonly"); $('.epidural_dexamethasone_input').val(dexas); } var trams = "<?php echo $info['trmadol_dose']; ?>"; if(trams){ $('.epidural_trama').attr("checked",true); $('.epidural_trama_input').removeAttr("readonly"); $('.epidural_trama_input').val(trams); } var ketas = "<?php echo $info['kepamine_dose']; ?>"; if(ketas){ $('.epidural_ketamine').attr("checked",true); $('.epidural_ketamine_input').removeAttr("readonly"); $('.epidural_ketamine_input').val(ketas); } var midas = "<?php echo $info['midazolam_dose']; ?>"; if(midas){ $('.epidural_midazolam').attr("checked",true); $('.epidural_midazolam_input').removeAttr("readonly"); $('.epidural_midazolam_input').val(midas); } var adrena = "<?php echo $info['adrenaline_dose']; ?>"; if(adrena){ $('.epidural_adrenaline').attr("checked",true); $('.epidural_adrenaline_input').removeAttr("readonly"); $('.epidural_adrenaline_input').val(adrena); } var cz = '<?php echo $info['aj_epidural_other']; ?>'; var obj = jQuery.parseJSON(cz); if(obj[0].name){ $('.epidural_other').attr("checked",true); $('.epidural_other_box').show(); } </script> <!---------------------------------------spinal START--------------------------------------> <script> var spinal_landamark = '<?php echo $info['spinal_landamark']; ?>'; $('.spinal_landmark').val(spinal_landamark); var spinal_level = "<?php echo $info['spinal_level']; ?>"; // alert(spinal_level); $('.spinal_level_input').val(spinal_level); $('.'+spinal_level).css("background", "red").css("color", "white"); $(".spinal_level"). click(function() { var spinal_level = $(this).val(); $(this).css("background", "red").css("color", "white").siblings().css("background", "white").css("color", "black"); $('.spinal_level_input').val(spinal_level); }); $('.spinal_needel_brand_other').change(function(){ var input = $('.spinal_needel_brand_other').val(); if(input == "Other"){ $('.spinal_needel_brand_other_input').show(); }else{ $('.spinal_needel_brand_other_input').hide(); } }); $('.spinal_needel_type_other').change(function(){ var input = $('.spinal_needel_type_other').val(); if(input == "Other"){ $('.spinal_needel_type_other_input').show(); }else{ $('.spinal_needel_type_other_input').hide(); } }); var spinal_needle_brand1 = "<?php echo $info['spinal_needle_brand']; ?>"; var spinal_needle_brand = spinal_needle_brand1.split(' - '); if(spinal_needle_brand[0] == 'Other'){ $('.spinal_needel_brand_other_input').show(); $('.spinal_needel_brand_other_input').val(epidural_needle_brand1[1]); $('.spinal_needel_brand_other').val(epidural_needle_brand1[0]); }else{ $('.spinal_needel_brand_other').val(epidural_needle_brand); } var spinal_needle_type1 = "<?php echo $info['spinal_needle_type']; ?>"; var spinal_needle_type = spinal_needle_type1.split(' - '); if(spinal_needle_type[0] == 'Other'){ $('.spinal_needel_type_other_input').show(); $('.spinal_needel_type_other_input').val(spinal_needle_type[1]); $('.spinal_needel_type_other').val(spinal_needle_type[0]); }else{ $('.spinal_needel_type_other').val(spinal_needle_type1); } var sns = "<?php echo $info['spinal_needle_size']; ?>"; $('.spinal_needle_size').val(sns); var sa = "<?php echo $info['spinal_approach']; ?>"; $('.spinal_approach').val(sa); var sat = "<?php echo $info['spinal_no_attempts']; ?>"; $('.spinal_attempts').val(sat); $('.spinal_anaesthe').click(function(){ var epidural_clonidne =$('.spinal_anaesthe').is(':checked'); if(!epidural_clonidne){ $(".spinal_anaesthe_box").hide(); } else{ $('.spinal_anaesthe_box').show(); } }); $('.spinal_anaesth_other').click(function(){ var epidural_clonidne =$('.spinal_anaesth_other').is(':checked'); if(!epidural_clonidne){ $(".spinal_anaesth_other_option").hide(); } else{ $('.spinal_anaesth_other_option').show(); } }); $(".spinal_ml1").keyup(function(){ var persent = $('.spinal_persent1').val(); var ml = $('.spinal_ml1').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg1').val(mg); }); $(".spinal_persent1").keyup(function(){ var persent = $('.spinal_persent1').val(); var ml = $('.spinal_ml1').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg1').val(mg); }); $(".spinal_ml2").keyup(function(){ var persent = $('.spinal_persent2').val(); var ml = $('.spinal_ml2').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg2').val(mg); }); $(".spinal_persent2").keyup(function(){ var persent = $('.spinal_persent2').val(); var ml = $('.spinal_ml2').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg2').val(mg); }); $(".spinal_ml3").keyup(function(){ var persent = $('.spinal_persent3').val(); var ml = $('.spinal_ml3').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg3').val(mg); }); $(".spinal_persent3").keyup(function(){ var persent = $('.spinal_persent3').val(); var ml = $('.spinal_ml3').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg3').val(mg); }); $(".spinal_ml4").keyup(function(){ var persent = $('.spinal_persent4').val(); var ml = $('.spinal_ml4').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg4').val(mg); }); $(".spinal_persent4").keyup(function(){ var persent = $('.spinal_persent4').val(); var ml = $('.spinal_ml4').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg4').val(mg); }); $(".spinal_ml5").keyup(function(){ var persent = $('.spinal_persent5').val(); var ml = $('.spinal_ml5').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg5').val(mg); }); $(".spinal_persent5").keyup(function(){ var persent = $('.spinal_persent5').val(); var ml = $('.spinal_ml5').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg5').val(mg); }); $(".spinal_ml6").keyup(function(){ var persent = $('.spinal_persent6').val(); var ml = $('.spinal_ml6').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg6').val(mg); }); $(".spinal_persent6").keyup(function(){ var persent = $('.spinal_persent6').val(); var ml = $('.spinal_ml6').val(); var div = (persent/100); var multi = ml*10; var mg = div*multi; $('.spinal_mg6').val(mg); }); var spinal_anaesthetic = "<?php echo $info['spinal_anaesthetic']; ?>"; if(spinal_anaesthetic == 'Yes'){ $('.spinal_anaesthe').attr("checked",true); $('.spinal_anaesthe_box').show(); } var spinal_lig = '<?php echo $info['spinal_lignocaine_an']; ?>'; var spinal_lignocaine = spinal_lig.split(','); $('.spinal_option1').val(spinal_lignocaine[0]); $('.spinal_persent1').val(spinal_lignocaine[1]); $('.spinal_ml1').val(spinal_lignocaine[2]); $('.spinal_mg1').val(spinal_lignocaine[3]); var spinal_bupi = '<?php echo $info['spinal_bupivacaine_an']; ?>'; var spinal_bupivaca = spinal_bupi.split(','); $('.spinal_option2').val(spinal_bupivaca[0]); $('.spinal_persent2').val(spinal_bupivaca[1]); $('.spinal_ml2').val(spinal_bupivaca[2]); $('.spinal_mg2').val(spinal_bupivaca[3]); var spinal_ropi = '<?php echo $info['spinal_ropivacaine_an']; ?>'; var spinal_ropivaca = spinal_ropi.split(','); $('.spinal_option3').val(spinal_ropivaca[0]); $('.spinal_persent3').val(spinal_ropivaca[1]); $('.spinal_ml3').val(spinal_ropivaca[2]); $('.spinal_mg3').val(spinal_ropivaca[3]); var spinal_pri = '<?php echo $info['spinal_prilocaine_an']; ?>'; var spinal_priloca = spinal_pri.split(','); $('.spinal_option4').val(spinal_priloca[0]); $('.spinal_persent4').val(spinal_priloca[1]); $('.spinal_ml4').val(spinal_priloca[2]); $('.spinal_mg4').val(spinal_priloca[3]); var spinal_2chlor = '<?php echo $info['spinal_2chloroprocaine_an']; ?>'; var spinal_2chloropro = spinal_2chlor.split(','); $('.spinal_option5').val(spinal_2chloropro[0]); $('.spinal_persent5').val(spinal_2chloropro[1]); $('.spinal_ml5').val(spinal_2chloropro[2]); $('.spinal_mg5').val(spinal_2chloropro[3]); var spinal_oth = '<?php echo $info['other_spinal_an']; ?>'; var spinal_other_an = spinal_oth.split(','); $('.spinal_anaesth_other_input').val(spinal_other_an[0]); $('.spinal_persent6').val(spinal_other_an[1]); $('.spinal_ml6').val(spinal_other_an[2]); $('.spinal_mg6').val(spinal_other_an[3]); var spinal_anaesth_other = '<?php echo $info['spinal_anaesth_other']; ?>'; if(spinal_anaesth_other == 'Yes'){ $('.spinal_anaesth_other').attr("checked",true); $('.spinal_anaesth_other_option').show(); } $('.spinal_adjuvant').click(function(){ var epidural_clonidne =$('.spinal_adjuvant').is(':checked'); if(!epidural_clonidne){ $(".spinal_adjuvant_box").hide(); } else{ $('.spinal_adjuvant_box').show(); } }); $('.spinal_clonidne').click(function(){ var epidural_clonidne =$('.spinal_clonidne').is(':checked'); if(!epidural_clonidne){ $(".spinal_clonidne_input").attr("readonly", true); } else{ $('.spinal_clonidne_input').removeAttr("readonly"); } }); $('.spinal_dexmedito').click(function(){ var epidural_clonidne =$('.spinal_dexmedito').is(':checked'); if(!epidural_clonidne){ $(".spinal_dexmedito_input").attr("readonly", true); } else{ $('.spinal_dexmedito_input').removeAttr("readonly"); } }); $('.spinal_dexametha').click(function(){ var epidural_clonidne =$('.spinal_dexametha').is(':checked'); if(!epidural_clonidne){ $(".spinal_dexametha_input").attr("readonly", true); } else{ $('.spinal_dexametha_input').removeAttr("readonly"); } }); $('.spinal_tramadol').click(function(){ var epidural_clonidne =$('.spinal_tramadol').is(':checked'); if(!epidural_clonidne){ $(".spinal_tramadol_input").attr("readonly", true); } else{ $('.spinal_tramadol_input').removeAttr("readonly"); } }); $('.spinal_adrenaline').click(function(){ var epidural_clonidne =$('.spinal_adrenaline').is(':checked'); if(!epidural_clonidne){ $(".spinal_adrenaline_input").attr("readonly", true); } else{ $('.spinal_adrenaline_input').removeAttr("readonly"); } }); $('.spinal_other').click(function(){ var epidural_clonidne =$('.spinal_other').is(':checked'); if(!epidural_clonidne){ $(".spinal_other_box").hide(); } else{ $('.spinal_other_box').show(); } }); var aj_so = '<?php echo $info['aj_spinal_opioid']; ?>'; var obj1 = jQuery.parseJSON(aj_so); var aj_sc = "<?php echo $info['aj_spinal_clonidne']; ?>"; var aj_sd = "<?php echo $info['aj_spinal_dexmeditomidine']; ?>"; var aj_sdex = "<?php echo $info['aj_spinal_dexamethasone']; ?>"; var aj_st = "<?php echo $info['aj_spinal_tramadol']; ?>"; var aj_sad = "<?php echo $info['aj_spinal_adrenaline']; ?>"; var aj_soth = '<?php echo $info['aj_spinal_other']; ?>'; var obj2 = jQuery.parseJSON(aj_soth); if((obj1[0].name)||(aj_sc)||(aj_sd)||(aj_sdex)||(aj_st)||(aj_sad)||(obj2[0].name)){ $('.spinal_adjuvant').attr("checked",true); $('.spinal_adjuvant_box').show(); } if(obj2[0].name){ $('.spinal_other').attr("checked",true); $('.spinal_other_box').show(); } $('.spinal_opioid_check').click(function(){ var epidural_clonidne =$('.spinal_opioid_check').is(':checked'); if(!epidural_clonidne){ $(".spinal_opioid").hide(); } else{ $('.spinal_opioid').show(); } }); var asopio = '<?php echo $info['aj_spinal_opioid']; ?>'; var asopioid = jQuery.parseJSON(asopio); if(asopioid[0].name){ $('.spinal_opioid_check').attr("checked",true); $('.spinal_opioid').show(); } if(aj_sc){ $('.spinal_clonidne').attr("checked",true); $('.spinal_clonidne_input').removeAttr("readonly"); $('.spinal_clonidne_input').val(aj_sc); } if(aj_sd){ $('.spinal_dexmedito').attr("checked",true); $('.spinal_dexmedito_input').removeAttr("readonly"); $('.spinal_dexmedito_input').val(aj_sd); } if(aj_sdex){ $('.spinal_dexametha').attr("checked",true); $('.spinal_dexametha_input').removeAttr("readonly"); $('.spinal_dexametha_input').val(aj_sdex); } if(aj_st){ $('.spinal_tramadol').attr("checked",true); $('.spinal_tramadol_input').removeAttr("readonly"); $('.spinal_tramadol_input').val(aj_st); } if(aj_sad){ $('.spinal_adrenaline').attr("checked",true); $('.spinal_adrenaline_input').removeAttr("readonly"); $('.spinal_adrenaline_input').val(aj_sad); } $('.spinal_analgesia_supplement').click(function(){ var epidural_clonidne =$('.spinal_analgesia_supplement').is(':checked'); if(!epidural_clonidne){ $(".spinal_analgesia_supplement_box").hide(); } else{ $('.spinal_analgesia_supplement_box').show(); } }); $('.spinal_iv_analgesia').click(function(){ var epidural_clonidne =$('.spinal_iv_analgesia').is(':checked'); if(!epidural_clonidne){ $(".spinal_iv_analgesia_box").hide(); } else{ $('.spinal_iv_analgesia_box').show(); } }); var csc = "<?php echo $info['in_analgesia']; ?>"; var qsq = "<?php echo $info['asr_iv_analgesia']; ?>"; if((csc == "Yes")||(qsq == "Yes")){ $('.spinal_analgesia_supplement').attr("checked",true); $('.spinal_analgesia_supplement_box').show(); } if(csc == 'Yes'){ $('.asr_spinal_inhalation').attr('checked',true); } if(qsq == 'Yes'){ $('.spinal_iv_analgesia').attr('checked',true); $('.spinal_iv_analgesia_box').show(); } $('.spinal_opioid_supplemen').click(function(){ var epidural_clonidne =$('.spinal_opioid_supplemen').is(':checked'); if(!epidural_clonidne){ $(".spinal_opioid_supplemen_box").hide(); } else{ $('.spinal_opioid_supplemen_box').show(); } }); var ere = '<?php echo $info['asr_opioids']; ?>'; if(ere == 'Yes'){ $('.spinal_opioid_supplemen').attr('checked',true); $('.spinal_opioid_supplemen_box').show(); } $('.spinal_multi_model').click(function(){ var epidural_clonidne =$('.spinal_multi_model').is(':checked'); if(!epidural_clonidne){ $(".spinal_multi_model_box").hide(); } else{ $('.spinal_multi_model_box').show(); } }); $('.spinal_adju').click(function(){ var epidural_clonidne =$('.spinal_adju').is(':checked'); if(!epidural_clonidne){ $(".spinal_adju_box").hide(); } else{ $('.spinal_adju_box').show(); } }); var df = '<?php echo $info['asr_multi_modal']; ?>'; if(df == 'Yes'){ $('.spinal_multi_model').attr('checked',true); $('.spinal_multi_model_box').show(); } var dg = '<?php echo $info['asr_ketamine']; ?>'; if(dg == 'Yes'){ $('.asr_ketamine').attr('checked',true); } var dh = '<?php echo $info['asr_dexmedetomidine']; ?>'; if(dh == 'Yes'){ $('.asr_dexmedetomi').attr('checked',true); } var dk = '<?php echo $info['asr_clonidine']; ?>'; if(dk == 'Yes'){ $('.asr_clonidine').attr('checked',true); } var dl = '<?php echo $info['asr_tramadol']; ?>'; if(dl == 'Yes'){ $('.asr_tramadol').attr('checked',true); } var de = '<?php echo $info['asr_magnesium']; ?>'; if(de == 'Yes'){ $('.asr_magnesium').attr('checked',true); } var db = '<?php echo $info['asr_other']; ?>'; if(db == 'Yes'){ $('.spinal_adju').attr('checked',true); $('.spinal_adju_box').show(); } $('.tech_complication_check').click(function(){ var epidural_clonidne =$('.tech_complication_check').is(':checked'); if(!epidural_clonidne){ $(".tech_complication_checkbox").hide(); } else{ $('.tech_complication_checkbox').show(); } }); $('.spinal_technical_other').click(function(){ var epidural_clonidne =$('.spinal_technical_other').is(':checked'); if(!epidural_clonidne){ $(".spinal_technical_input").hide(); } else{ $('.spinal_technical_input').show(); } }); var aq = '<?php echo $info['tc_equipment'] ?>'; if(aq == 'Yes'){ $('.complication_equipment').attr('checked',true); } var ae = '<?php echo $info['tc_multiple_attempts'] ?>'; if(ae == 'Yes'){ $('.complication_multi_attempts').attr('checked',true); } var aw = '<?php echo $info['tc_2nd_anaesthetist'] ?>'; if(aw == 'Yes'){ $('.complication_2nd_anaesthe').attr('checked',true); } var au = '<?php echo $info['tc_failure_space'] ?>'; if(au == 'Yes'){ $('.complication_failure_space').attr('checked',true); } var ai = '<?php echo $info['tc_catheter_related'] ?>'; if(ai == 'Yes'){ $('.complication_catheter').attr('checked',true); } var ap = '<?php echo $info['tc_other'] ?>'; var ap1 = '<?php echo $info['tc_other_input'] ?>'; if(ap == 'Yes'){ $('.spinal_technical_other').attr('checked',true); $('.spinal_technical_input').show(); $('.complication_other').val(ap1); } if(aq || ae || aw || au || ai || ap ){ $('.tech_complication_check').attr('checked',true); $('.tech_complication_checkbox').show(); } $('.spinal_acute_multi_option').click(function(){ var epidural_clonidne =$('.spinal_acute_multi_option').is(':checked'); if(!epidural_clonidne){ $(".spinal_acute_multi_option_box").hide(); } else{ $('.spinal_acute_multi_option_box').show(); } }); var z1 = '<?php echo $info['ac_epidural_resited'] ?>'; var z2 = '<?php echo $info['ac_local_anaesthetic'] ?>'; var z3 = '<?php echo $info['ac_respiratory_arrest'] ?>'; var z4 = '<?php echo $info['ac_cardiac_arrest'] ?>'; var z5 = '<?php echo $info['ac_radicular_pain'] ?>'; var z6 = '<?php echo $info['ac_paresthesia_pain'] ?>'; var z7 = '<?php echo $info['ac_bloody_tap'] ?>'; var z8 = '<?php echo $info['ac_wet_tap'] ?>'; var z9 = '<?php echo $info['ac_hypotension'] ?>'; var z10 = '<?php echo $info['ac_nausea'] ?>'; var z11 = '<?php echo $info['ac_vomiting'] ?>'; var z12 = '<?php echo $info['ac_high_block'] ?>'; var z13 = '<?php echo $info['ac_subdural_block'] ?>'; var z14 = '<?php echo $info['ac_moto_block'] ?>'; var z15 = '<?php echo $info['ac_tatal_spinal'] ?>'; var z16 = '<?php echo $info['ac_accidental_dural'] ?>'; var z17 = '<?php echo $info['ac_other'] ?>'; var z18 = '<?php echo $info['ac_other_input'] ?>'; if(z1 == 'Yes'){ $('.ac_epidural_resited').attr('checked',true); } if(z2 == 'Yes'){ $('.ac_last').attr('checked',true); } if(z3 == 'Yes'){ $('.ac_respira_arrest').attr('checked',true); } if(z4 == 'Yes'){ $('.ac_cardiac_arrest').attr('checked',true); } if(z5 == 'Yes'){ $('.ac_rasicular_pain').attr('checked',true); } if(z6 == 'Yes'){ $('.ac_paresthesia_pain').attr('checked',true); } if(z7 == 'Yes'){ $('.ac_bloody_tap').attr('checked',true); } if(z8 == 'Yes'){ $('.ac_wet_tap').attr('checked',true); } if(z9 == 'Yes'){ $('.ac_hypotension').attr('checked',true); } if(z10 == 'Yes'){ $('.ac_nausea').attr('checked',true); } if(z11 == 'Yes'){ $('.ac_vomiting').attr('checked',true); } if(z12 == 'Yes'){ $('.ac_high_block').attr('checked',true); } if(z13 == 'Yes'){ $('.ac_subdural_block').attr('checked',true); } if(z14 == 'Yes'){ $('.ac_motor_block').attr('checked',true); } if(z15 == 'Yes'){ $('.ac_total_spinal').attr('checked',true); } if(z16 == 'Yes'){ $('.ac_accidental').attr('checked',true); } if(z17 == 'Yes'){ $('.spinal_acute_other').attr('checked',true); $('.spinal_acute_other_input').show(); $('.spinal_acute_other_input').val(z18); } if(z1 || z2 || z3 || z4 || z5 || z6 || z7 || z8 || z9 || z10 || z11 || z12 || z13 || z14 || z15 || z16 || z17){ $('.spinal_acute_multi_option').attr('checked',true); $('.spinal_acute_multi_option_box').show(); } function complete(){ $("#com1").attr("readonly", false); $("#par1").attr("readonly", true); $("#par").prop("checked", false); $("#fail").prop("checked", false); } function partial(){ $("#par1").attr("readonly", false); $("#com1").attr("readonly", true); $("#com").prop("checked", false); $("#fail").prop("checked", false); } function failure(){ $("#par1").attr("readonly", true); $("#com1").attr("readonly", true); $("#com").prop("checked", false); $("#par").prop("checked", false); } var yt = "<?php echo $info['success']; ?>"; var yz = "<?php echo $info['success_onset']; ?>"; if(yt=="Complete Success"){ $('#com')[0].checked = true; $("#com1").attr("readonly", false); $("#com1").val(yz); }else if(yt=="Partial Success"){ $('#par')[0].checked = true; $("#par1").attr("readonly", false); $("#par1").val(yz); }else{ $('#fail')[0].checked = true; } var qe = '<?php echo $info['motor_level']; ?>'; $('.motor_level').val(qe); var qt = '<?php echo $info['duration_surgery']; ?>'; $('.duration_of_surgery').val(qt); var qo = '<?php echo $info['blood_loss']; ?>'; $('.blood_loss').val(qo); var qp = '<?php echo $info['vasopressor_use']; ?>'; if(qp == 'Yes'){ $('.vasopressor_use').attr('checked',true); } </script> <script> $('#combined_spinal_modal').submit(function(e){ e.preventDefault(); var lor_sal = '', air = '', hang = ''; var xx = $('#lor_saline').is(':checked'); var yy = $('#lor_air').is(':checked'); var zz = $('#hanging_drop').is(':checked'); if(xx){ lor_sal = $('#lor_air').val(); } if(yy){ air = $('#lor_saline').val(); } if(zz){ hang = $('#hanging_drop').val(); } var formData = new FormData(this); formData.append('lor_saline',lor_sal); formData.append('lor_air',air); formData.append('hanging_drop',hang); $(".update").text("Updating..."); $(".update").attr("disabled", true); $.ajax({ type : "POST", url : '<?php echo base_url("combinedSpinalView/update_spinal_epidural")?>', data : formData, contentType: false, processData: false, success:function(response){ response = jQuery.parseJSON(response); if(response.result==1){ toastr["success"](response.message); $("#edit-comb-spinal").modal("hide"); $('.update').removeAttr("disabled"); $(".update").text("Save"); history.go(0); } else{ toastr["error"](response.message); $('.update').removeAttr("disabled"); $(".update").text("Update"); } } }); }); </script> <?php echo view('includes/footer'); ?>