An improved endotracheal tube is disclosed. In particular, the disclosed endotracheal tube includes a distal end, which is adapted to be placed into a patient, and a proximal end, which is adapted to couple with a gas supply. The endotracheal tube includes an inflatable cuff disposed near the distal end of the tube, which exterior dimensions taper and narrow from the distal end towards the proximal end. In addition, the distal end of the endotracheal tube includes a second inflatable cuff that is adapted to dull the distal end of the endotracheal tube. In particular, the second inflatable cuff is adapted to dull the distal end to prevent or at least minimize irritation of the patients mucosal tissue in the nose or throat.