Embodiments include a tracheal tube having a proximal end and a distal end. In certain embodiments, a plurality of spaced-apart cuffs disposed around the tracheal tube. The plurality of spaced-apart cuffs being configured to seal the tracheal airway of a patient and to capture tracheal secretions or debris. Also, at least two pilot balloons are connected to the plurality of cuffs, the at least two pilot balloons being configured to inflate and deflate the plurality of cuffs. Further, at least two injection lumens connected to at least two injection distal ports configured to administer fluids to the bronchi of the patient and at least one evacuation lumen connected to a plurality of evacuation ports, the at least one evacuation lumen being connected to a vacuum source. The plurality of evacuation ports are disposed proximal the plurality of evacuation ports to remove the captured fluids or debris.
