Over the past two decades, the concept of preoperative fasting for pediatric patients undergoing elective surgery has been reviewed by the scientific medical community. The European Society of Anesthesiology and American Society of Anesthesiology announced a minimum of 2h of preoperative fasting time for children and adolescents and the ingestion of only clear fluids within 2h prior to procedural anesthesia (,). We currently know that more than 4h of fasting may lead to unfavorable metabolic and inflammatory effects, such as […]

The coronavirus disease (COVID-19) pandemic has led to social distancing and isolation measures worldwide (,). Quarantine began on July 20, 2020 in São Paulo State, Brazil (). Institutional guidelines of the Hospital das Clínicas of FMUSP (HCFMUSP) released on March 18, 2020 recommended postponing medical and multidisciplinary appointments, outpatient procedures, and elective surgeries. As a result, the regular follow-up of a considerably large group of adolescents living with pre-existing chronic conditions was provisionally scheduled at longer intervals or even paused. […]