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).

Incorrect answers:

• 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.

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