Postoperative care for a patient who recently had a hypophysectomy should include which head-of-bed position to help prevent complications?

• A. Keep head of bed at 30°
• B. Keep head of bed at 60°
• C. Keep head of bed flat
• D. Keep head of bed at 15°

Answer: (A)

After hypophysectomy, the goal is to protect the operative site and keep intracranial pressure low. Elevating the head of the bed about 30 degrees promotes venous drainage from the brain, which reduces intracranial pressure and helps prevent a CSF leak at the surgical site. It also minimizes brain edema and headaches that could disrupt healing. A higher angle isn’t needed and can increase discomfort, while a flat position can raise ICP and raise the risk of complications. Keeping the head in a neutral, midline position and avoiding bending or straining supports safe healing.