After a ventriculoperitoneal shunt placement, how should the nurse position the child?

Positioning a child after ventriculoperitoneal (VP) shunt placement is crucial for promoting comfort and facilitating effective drainage of cerebrospinal fluid (CSF). Placing the child on the unoperated side is appropriate because it helps prevent pressure on the surgical site and allows for proper functioning of the shunt.

When positioned on the unoperated side, the risk of complications such as infection or displacement of the shunt is minimized. It also aids in the natural drainage process, as gravity can support the flow of CSF away from the brain and through the shunt.

Other positions, such as lying flat on the operated side, could potentially exert pressure on the surgical site, posing a risk of discomfort or disruption of the shunt function. Seated upright could lead to increased intracranial pressure (ICP) if the child were to experience complications like obstruction or failure of the shunt. A flexed position might not provide adequate support for the head and neck, which could also lead to discomfort and complications post-surgery. Therefore, positioning the child on the unoperated side promotes optimal recovery following the procedure.