Soft-tipped airway exchange apparatus for use when replacing an endotracheal tube in a patient with a new endotracheal tube. The apparatus comprises a polymeric catheter body sized for insertion into a passageway of the endotracheal tube, for ventilating the patient during replacement of the endotracheal tube. The catheter body has a proximal portion, a distal portion and a ventilation passageway extending longitudinally therein. The distal portion has a rigidity which is less than the rigidity of the proximal portion.