“…As a result, the ethical practices of withholding and withdrawing life-sustaining treatments (WLST) in children ( 11 ), have become common in PICUs in many countries ( 2 , 12 , 13 ). Consequently, the goals of care get redefined—to ensure support and comfort to the patient's parents rather than providing a cure, and to attend to the psychosocial needs of dying children and their families which will promote optimal EOL care, and thus facilitate a peaceful death ( 14 , 15 ). Major factors have been shown to strongly influence the decision to WLST including, geographic parameters, religious and cultural beliefs, societal values, race, legal concerns, subjective evaluation of the benefits and burdens of life support, the nature of the underlying disease, the quality of life prior to hospitalization, and the expected suffering secondary to the pathology ( 12 , 16 , 17 ).…”