neurocritical care unit
Conditions
Interventions
Control Group A (rTMS Therapy):rTMS Therapy
Control Group A (FSN Therapy):FSN Therapy
Test Group (FSN Therapy + rTMS Therapy):FSN Therapy + rTMS Therapy
Sponsors
Zhejiang Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. NCU patients: TBI, SAH, intracerebral hemorrhage (ICH), ischemic stroke, central nervous system infections (brain abscess, ventriculitis, meningitis, encephalitis, or brain tumor), etc.; 2. Age >=18 years; 3. Admitted to the ICU with a pre-intubation GCS =24 hours and an attempt at weaning (i.e., undergoing a weaning trial); 4. No severe complications, such as heart, brain, or kidney dysfunction, deep vein thrombosis, etc.; 5. Intact skin; 6. Informed consent signed by family members.
Exclusion criteria
Exclusion criteria: 1. Age < 18 years; 2. Presence of contraindications for FSN or rTMS (metal implants in the body, such as pacemakers, refractory epilepsy, recent severe injury or trauma, or pregnancy; skin surface infection, ulcer, or injury); 3. Spinal cord injury above T4, Guillain-Barré syndrome, motor neuron disease, myopathy, myasthenia gravis, or phrenic nerve paralysis; 4. Combined severe heart disease, liver cirrhosis, renal failure, severe systemic disease, or history of malignancy; 5. History of lung, chest, or abdominal diseases; 6. Refusal to sign the informed consent form.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration of mechanical ventilation;QOL-MV questionnaire Score;ICU Length of Stay;TCM Syndrome Integral Scale Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Diaphragmatic Thickening Fraction, Abdominal Muscle Thickening Fraction;Airway Occlusion Pressure at 100 ms;StO2?THI;Amplitude of MEP?Latency of MEP?CMCT;Time of Inspiratory Effort, TIE; | — |
Countries
China
Contacts
Public ContactYunlan Dai
Zhejiang Provincial People's Hospital
Outcome results
None listed