Dilemma of Care Givers of Critically Ill Patients in a Cancer ICU - A Case Report

60 days experience in ICU for a case of recurrent renal cell carcinoma subjected to aggressive approach is presented. Patient had one complication after another related to disease and the treatment which was successfully managed but the overall end result was sub optimal due to advanced age, malnutrition, failed weaning, progressive neuropathy and disease progression. Later realization of the medical futility by the caregivers, after counseling, lead to their compliance with the wishes of the patient. Such cases are better managed with early recognition and acknowledgment of medical futility and the patients wishes.