Devictor and colleagues [66] conducted a multicenter prospective study, the Eurydice II study, in 45 paediatric ICUs in Europe. They identified decisions to forego life support in 166 children, representing 41% of the paediatric deaths. They found some regional variability, with more patients dying after CPR in Eastern and Central Europe than in Northern and Western Europe. The vast majority of decisions to forego life support were discussed by clinicians and families during a formal family meeting, after which the medical staff generally made the final decision. The decision was almost always documented in the medical record. The majority of parents were informed of the final decision and were at the bedside during their child's death. Decisions were made to forego life-sustaining treatment in 41% of children who died, which was higher than the 33% seen in Eurydice I conducted in 2002, 6-7 years earlier. Eurydice II found that a higher percentage of parents were now informed about the meeting and its conclusion as compared with the earlier Eurydice I. This study shows a trend towards the standardisation of paediatric end-of-life practices across European countries in the past decade, with increased communication with the parents of critically ill children.