There will come a time in your career when you have to tell an 80 year old, and their relatives, they are going to die. There may also come a time when you have to tell a 9 year old, and their relatives, they are going to die. Which do you imagine will be harder, and why?
I've been with many adults as they've died, only one kid (never worked in paeds), so it's hard for me to compare, but i have found that at least some adults are emotionally equipped to face their deaths with equanimity - i'm not sure the same is true of children, given they are generally less emotionally developed.
As for the 'I try harder on kids' comment, i do find it unprofessional. If the patient is deemed suitable for surgery, then the best potential outcome must be sought every time, regardless of age.
On a side note i think pastoral care for those dying in hospital is appalling, if at all present and is something that requires attention.