An endotracheal device that comprises an endotracheal tube sized and shaped for being disposed within the trachea so that at least a distal segment thereof being placed in the windpipe lumen of a patient and at least one self expending element disposed around a peripheral surface of the endotracheal tube and having a first thickness in a compressed state and a second thickness in an expanded state, the at least one self expending element switching from the compressed state to the expanded state when absorbing moisture. The first thickness is thinner than the second thickness.