I've Never Extruded an Adult in a Natural Position

I've traditionally always been taught am head up. I don't think i've ever extrupatedless asa child and you put them in a natural position. But with the use of shorter acting agents, e, things have changed. Most people now extibate with their patients in the head up position. You've got much better control of the air way. And the respiratory mechanics are more favorable. Bite block or no bipe block. If i'm using a supr glossic airway, first generation suproglotic airway that doesn't have an intergral bite block. And i always put a bite block ipin if i'm using an oral tube,. because