The lateral recovery position is generally the safest position for patients following surgery. In this position, vomitus and other secretions are less at risk of being inhaled. The tongue falls forward and is less likely to obstruct the airway in this position. The left lateral position is usually recommended, because laryngoscopy and re-intubation are easier on this side when using a standard Macintosh blade.

The following patient positions may also be considered at extubation:

• The supine position is acceptable if the patient is awake with good airway patency and there is little risk of regurgitation
• Sitting the patient up at extubation may also be acceptable. Lung ventilation is usually better when sat up, so this position may help patients with COPD (Chronic Obstructive Pulmonary Disease) and other respiratory disorders. Obese patients and those with cardiac disease often breathe more comfortably when sitting too. The sitting up position is also useful after certain head and neck procedures, as it facilitates venous drainage, and often provides a more patent airway. Hypotension is a contraindication