What position should a child with tonsillitis initially be placed in?

In the case of a child with tonsillitis, positioning the child in a side-lying position is beneficial for several reasons. This position can help prevent aspiration, which is particularly important if there are concerns about secretions or if the child is feeling nauseated. Additionally, side-lying can provide comfort and can alleviate pressure on the throat, which may be sore due to the inflammation of the tonsils.

It's important to ensure that the child is able to breathe comfortably and that they feel secure while in this position. This side-lying position can also facilitate easier drainage of secretions compared to a supine position, where the child might struggle more with drainage and could be at an increased risk for aspiration.

Other positions, such as sitting upright, could be appropriate in some cases, especially if the child is having difficulty breathing or needs to be more alert, but side-lying generally offers a more relaxed and safer option during the initial care phase for tonsillitis. Each child's needs would ultimately dictate the best positioning, but side-lying is typically a sound choice in this context.