Patient’s family consultation: Professor Li, the patient is male, 45 years old, 1.65 meters tall, 75 kg, blood pressure 140/90, heart rate 110/min, suffering from motor neuron disease for 3 years and 9 months. Now he is tetraplegic. early September FVC 18, blood oxygen 96%, blood gas still in the normal range. He is breathing well in a flat position, but poorly in a sitting position, and now wears a ventilator for about 8 hours a day. Because of the difficulty in breathing and chewing, he wants to have a gastrostomy. Is it safer to perform gastrostomy by interventional method? Is it still possible to perform a gastroscopic gastrostomy in his case? (The patient wants to have a gastrostomy without going off the ventilator and without pneumonectomy). Dr. Li replied: At FVC above 50%, gastroscopic percutaneous gastrostomy is a simple procedure that takes about 15 minutes to perform. There is a high risk of not being able to get off the operating table or not being able to remove the tube after anesthesia. Your husband has an FVC of 18%, which is basically no possibility of percutaneous gastrostomy. Patients who want to have a gastrostomy without being off the ventilator and without pneumotomy can have a radiographically guided gastrostomy. The most important thing is that you have to be aware of the fact that there is a lot of information that you can use in order to make sure that you have a good idea of what you are doing. Family members of patients: Hello Professor Li! My husband has been on a ventilator for 8 hours for more than 20 days, and the pressure has been increased to 12, and he is on oxygen for 3 hours/day, but his heart rate is still 110-120. The fever has been low for the past two days, the blood count was high the day before, and the CT was taken yesterday for pneumonia. Does it also affect the heart rate? Dr. Li Xiaoguang replied: It should be aspiration pneumonia, actively control the infection. Your husband’s manifestations are all signs of pneumonia and have nothing to do with the heart itself.