After a ventriculoperitoneal (VP) shunt placement, in which position should the child be placed?

After a ventriculoperitoneal (VP) shunt placement, the child should ideally be placed on the unoperative side. This position helps to promote optimal drainage of cerebrospinal fluid (CSF) and reduces the risk of complications such as pressure on the shunt site. By lying on the unoperative side, any swelling or discomfort from the surgery is alleviated, and it minimizes the risk of disrupting the newly placed shunt. Additionally, being on the unoperative side can support the child’s recovery by allowing for better blood flow and reducing the potential for any collection of fluid near the surgical site.

In contrast, positioning the child on the operative side could increase pressure and discomfort at the surgical site and may affect the shunt’s function. Lying flat on their back might not provide the best drainage and can sometimes lead to complications related to positioning and fluid accumulation. Sitting upright could also place stress on the shunt and is not typically recommended immediately post-operatively as it may not support optimal fluid management. Thus, placing the child on the unoperative side is the most beneficial position for recovery after VP shunt surgery.