Tap on and choose 'Add to Home Screen' to create a shortcut app

Tap on and choose 'Add to Home Screen/Install App' to create a shortcut app

Recovery After Surgery for Syndromic Craniosynostosis in Children

This page was last updated on January 25th, 2023

Postoperative Orders 

  • Initial care in PICU or high dependency unit: Most children do not require ventilation postoperatively, but the facility to do so should be available if required.
  • Routine observation: Routine observation and care are the same as for any major craniotomy. ICP monitoring is not routinely performed.
  • Analgesia: In the initial 24–48 hours analgesia is normally achieved with morphine infusion titrated against level of consciousness. After 24 hours non-steroidal analgesics can be given as the morphine infusion is gradually reduced and withdrawn.
  • Hematocrit, clotting profile, and serum electrolytes: Clotting is normally corrected during the operation but should be checked and, if necessary, corrected in the immediate postoperative phase. Hemoglobin and sodium levels should be carefully monitored, at least every 6 hours during the first postoperative 48 hours, and corrected if required.

Postoperative Morbidity

  • Pain: Pain usually resolves over the initial 72–96 hours after surgery.
  • Facial soft-tissue swelling: Facial soft-tissue swelling gradually develops over the first 48 hours and peaks around 96 hours after surgery before it begins to resolve. The eyes usually close during this period. Most patients are well enough to be discharged 5 or 6 days after surgery, once their eyes have opened.

Your donations keep us going

The ISPN Guide is free to use, but we rely on donations to fund our ongoing work and to maintain more than a thousand pages of information created to disseminate the most up-to-date knowledge in the field of paediatric neurosurgery.

By making a donation to The ISPN Guide you are also indirectly helping the many thousands of children around the world whose treatment depends on well-informed surgeons.

Please consider making a donation today.

Use the app

The ISPN Guide can be used as a standalone app, both on mobile devices and desktop computers. It’s quick and easy to use.

Fully featured

Free registration grants you full access to The Guide and host of featured designed to help further your own education.

Stay updated

The ISPN Guide continues to expand both in breadth and depth. Join our mailing list to stay up-to-date with our progress.