Disclosed is an efficient care-type variable endotracheal tube ventilation device relating to the technical field of medical instruments, and solving the technical problem of existing endotracheal tubes relatively often piercing the airway of a patient and easily causing suffering to the patient. The device comprises: an endotracheal tube main body (1) with a variable telescopic length, wherein the endotracheal tube main body (1) comprises a main tube of the telescopic stacked endotracheal tube (11) and a variable endotracheal tube head part (12) connected to one end of the main tube of the telescopic stacked endotracheal tube (11); the variable endotracheal tube head part (12) is made of a temperature control material, or the variable endotracheal tube head part (12) is stacked-type cone shape, and the air flow supply method can open out the stacked-type cone shape of the variable endotracheal tube head part (12) into a cylindrical shape; an outer side of the endotracheal tube main body (1) is sheathed with an endotracheal tube cuff (2), and the endotracheal tube cuff (2) is set near the variable endotracheal tube head part (12); and the other end of the main tube of the telescopic stacked endotracheal tube (11) is connected to an endotracheal tube connector (3).