After a supratentorial surgery, how should the patient be positioned post-operatively?

Following supratentorial surgery, the ideal patient positioning is crucial for promoting optimal recovery and minimizing complications. Positioning the patient on their back or non-operative side with the head of the bed elevated 15 to 45 degrees helps to facilitate venous return, reduce intracranial pressure, and enhance cerebral perfusion. Elevation also aids in preventing respiratory complications, as it allows for better lung expansion and drainage of secretions.

This posture is particularly important after brain surgery, as it helps to decrease the risk of postoperative complications such as hematoma formation. Additionally, maintaining the head elevated improves comfort and can help alleviate headache symptoms that may arise in the immediate postoperative period.

Flat positioning or other options do not provide the same level of benefit in terms of managing intracranial pressure and promoting optimal recovery. Being on the stomach or having no elevation could potentially increase intracranial pressure and hinder recovery. Thus, the recommended positioning aligns with best practices for postoperative care in patients who have undergone supratentorial procedures.