An unconscious patient arrives in the PACU. Which position best maintains the airway?

• A. Trendelenburg.
• B. Prone.
• C. Lateral recovery position.
• D. Supine.

Answer: (C)

Maintaining an open airway and preventing aspiration in an unconscious patient is crucial. Placing the patient in the lateral recovery position achieves this by letting gravity keep the airway clear: the tongue is less likely to occlude the airway, and secretions or any regurgitated material can drain away from the airway rather than pooling behind it. Supporting the head and turning the face slightly downward helps keep the airway patent and makes it easier to sweep the mouth if needed. This position also facilitates quick suctioning and airway checks while the patient remains unconscious.

Other positions hinder airway protection or ventilation. Lying on the back can allow the tongue to fall back and secretions to pool, increasing obstruction and aspiration risk. Prone makes airway access and monitoring much harder. Trendelenburg (head-down) can drive secretions toward the airway and raise intracranial pressure, worsening airway safety.