A 6-month-old infant with hydrocephalus is admitted to an acute care facility for insertion of a ventriculoperitoneal (VP) shunt. What is the best position for this patient post-operatively?
• After the placement of a VP shunt, the patient should be positioned flat to avoid a too-rapid decrease in intracranial pressure (ICP).
• Trendelenburg would increase blood flow to the head and increase ICP.
• Elevating the head of the bed can cause a rapid reduction in ICP. The ICP should be reduced slowly to prevent complications.