The client must be positioned in Semi-Fowler's position with the head elevated at a 30-degree angle.
Supratentorial surgery patients should have the head of the bed raised 30 degrees to improve venous drainage from the head.
- The client is positioned so that there is no excessive hip or neck flexion, and the head is held in a midline neutral posture.
- If a big tumour has been removed, the patient should be put on the nonoperative side to prevent cranial contents displacement.
- The flat or Trendelenburg posture would raise intracranial pressure.
- A reverse Trendelenburg posture would be ineffective and maybe unpleasant for the client.
To assist venous drainage after a craniotomy, the head of the bed is elevated 30 to 45 degrees (semi-to Fowler's Fowler's position), and the client's head is maintained in a midline, neutral position.
Learn more about the semi-fowler position here,
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