One aspect of the present disclosure relates to a reversible airway device that includes a tubular guide, a laryngeal mask, an endotracheal tube, and a sealing mechanism. The tubular guide can have a distal end portion, a proximal end portion, and a first passageway extending between the distal and proximal end portions. The laryngeal mask can be attached to the distal end portion of the tubular guide. The laryngeal mask can include an opening in fluid communication with the first passageway. The endotracheal tube can be slidably disposed within the first passageway and have a second passageway that is concentric with the first passageway. The sealing mechanism can be disposed within the first passageway and be configured to occlude the flow of a gas through the first passageway.