A reversible airway device can include a tubular guide, a laryngeal mask, and an endotracheal tube. The tubular guide can have a distal end portion, a proximal end portion, and a first passageway extending between the distal and proximal end portions. The tubular guide can further include a first longitudinal seam. The laryngeal mask can be attached to the distal end portion of the tubular guide. The laryngeal mask can include an opening in fluid communication with the first passageway. The laryngeal mask can further include a second longitudinal seam. The endotracheal tube can be slidably disposed within the first passageway and have a second passageway. The first and second longitudinal seams can be adapted to permit ingress and egress of the tubular guide from the airway without detaching the endotracheal tube from a ventilation source.