According to various embodiments, an endotracheal tube ventilating device with a sealing cuff includes an anchoring device. The anchoring device may be secured to the tube above the sealing cuff and extend outwardly from the tubular body. In addition, the anchoring device may be configured to be positioned completely within the hypopharynx of a patient, in contact with the piriform fossa and a laryngeal surface of the epiglottis without creating an airtight seal of the hypopharynx or the esophagus.