 The patient has frequent desaturations secondary to his aspiration pneumonia, and any surgical procedure or any surgical intervention would certainly require intubation, which would then necessitate long-term ventilator care as he is not someone who would be able to come off of a ventilator very well in his current state. 
The patient has frequent desaturations secondary to his aspiration pneumonia , and any surgical procedure or any surgical intervention would certainly require intubation , which would then necessitate long - term ventilator care as he is not someone who would be able to come off of a ventilator very well in his current state .