Explanation
•Before and after brain surgery, the child should receive stool softeners to prevent straining with bowel movements. Straining will increase intracranial pressure (ICP).
•Dexamethasone (Decadron), a glucocorticoid, is often given before brain surgery to reduce cerebral edema.
•No preoperative enema is given, because expelling an enema will increase intracranial pressure.
•Shaving before surgery is no longer common practice due to many recent studies that show no benefit or reduction of infections.