I had a beautiful 23 months old girl. Trach, vent. Unable to breath on her own, vent on AC mode. Days by days, rather hours after hours her PIP increased, finally reaching > 50 cm H2O. Family decided to withdraw treatment. We placed her on Fentanyl drip. In maybe 2 hrs she was gone. Having her that night only as one patient, I was happy, when my Charge Nurse sent me home after "all". It was probably my most difficult to accept night. I drove home with tears in my eyes. It happens few years ago, but I still remember HER.