What post-operative complication should be monitored after a cervical laminectomy?

Monitoring for pneumonia or atelectasis after a cervical laminectomy is critical due to the potential impact of the surgery on the patient's breathing. The cervical spine is closely associated with the respiratory function, and any manipulation or swelling in this area can affect the diaphragm and the overall mechanics of breathing.

Patients who have undergone cervical spine surgery may experience pain or discomfort that can inhibit their ability to take deep breaths. This shallow breathing can lead to decreased lung expansion, making them more susceptible to pneumonia or atelectasis, where a portion of the lung collapses due to insufficient air entry.

Post-operative care should include monitoring respiratory status, breath sounds, and oxygen saturation levels, as well as encouraging deep breathing exercises to promote lung expansion and prevent complications related to respiratory function. This is a proactive approach to reduce the risk of these post-operative complications.