What is a common complication to monitor for in a patient after a craniotomy?

Monitoring for increased intracranial pressure (ICP) is crucial after a craniotomy due to the potential for various complications following brain surgery. The removal of a part of the skull can lead to swelling, bleeding, or changes in brain volume, all of which can increase the pressure within the cranial cavity. Elevated ICP can compress brain tissue, reduce cerebral perfusion, and potentially lead to neurological deficits or even life-threatening situations if not identified and managed promptly.

Increased ICP can manifest through symptoms such as headache, altered consciousness, or changes in pupil size and reaction. It is essential for healthcare providers to monitor neurological status closely and use tools such as intracranial pressure monitors if indicated, particularly in patients at greater risk due to the nature of their surgery or underlying conditions.

The significance of watching for increased ICP outweighs the monitoring of dehydration, hypovolemia, or fever in this context, as these other conditions, while still important, are not as directly associated with the immediate post-operative complications from a craniotomy. Thus, focusing on ICP is a priority in ensuring patient safety and optimal recovery after such a procedure.