High-stress surgery in severely frail patients: a case report of personalized and multidisciplinary shared decision-making

Andrea Sanna; Sara Miori; Sergio Lassola; Michele Umbrello; Silvia De Rosa; Giacomo Bellani

doi:10.1186/s44158-023-00113-7

High-stress surgery in severely frail patients: a case report of personalized and multidisciplinary shared decision-making

J Anesth Analg Crit Care. 2023 Aug 14;3(1):28. doi: 10.1186/s44158-023-00113-7.

Authors

Andrea Sanna¹, Sara Miori², Sergio Lassola², Michele Umbrello³, Silvia De Rosa^{2

4}, Giacomo Bellani^{2

4}

Affiliations

¹ Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy. Andrea.sanna83@gmail.com.
² Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.
³ Department of Intensive Care Unit at San Carlo, Borromeo University Hospital, Milan, Italy.
⁴ Centre for Medical Sciences - CISMed, University of Trento, Trento, Italy.

Abstract

We report the case of a 65-year-old severely disabled man diagnosed with advanced renal neoplasm who was scheduled for major urologic surgery. Through a multidisciplinary approach, a shared decision-making process and mutual listening of all the health professionals involved, it was decided not to have major surgery due to the high risk of worsening the patient's health and quality of life.

Keywords: Case report; Disability; Frailty; Shared decision-making.