TITLEA Multisite Survey of Pediatric Respiratory Therapists regarding End-of-Life Care in Children To the Editor, Most pediatric deaths in developed countries occur in hospital settings within a pediatric intensive care unit (PICU) where care is provided by coordinated interdisciplinary teams.1 Approximately two-thirds of those deaths occurring in the PICU follow a decision to withhold or withdraw life-sustaining therapies.2 These decisions typically happen after multiple in-depth meetings between the medical team and the family/patient. Many units also have a debriefing process to focus on communication and emotional impact. Pediatric respiratory therapists (RT) are vital members of that interdisciplinary team, yet there is limited information on their roles and responsibilities surrounding end-of-life care. Publications are limited to adult end-of-life care in characterizing the experiences of RTs. Thus, much of what is understood is extrapolated from adult care research where end-of-life dynamics are quite different than pediatrics. Given the potential value of RT participation, the objective of this study is to describe the education, experiences and perceptions of RTs caring for pediatric patients at end-of-life to inform best practices that incorporate RT input most effectively and optimize their engagement as an integral member of the healthcare team. To best solicit this needed information, the survey broadly addressed three research questions: 1. Where (if anywhere) do pediatric RTs receive formal education on end-of-life care? 2. Are pediatric RTs participating in interdisciplinary pre-withdrawal meetings or post-withdrawal debriefings? 3. What is the RT’s comfort level with end-of-life care for a child?