A device for insertion within one or more body passageways of an individual to ventilate that individual, the device comprising: a tubular member having at least a first lumen and second lumen, where the first lumen is fluidly coupled to a first opening located towards a distal portion of the tubular member, the second lumen is fluidly coupled to a medial opening located proximal to the first opening along a wall of the tubular member, and the first opening and medial opening are fluidly isolated within the tubular member; a control system having a suction source and a gas supply lumen, the control system having a valve configured to fluidly couple a ventilation source to either the first lumen or the second lumen, the control system also capable of applying suction through the first opening and first lumen, and the control system configured to monitor a fluid parameter of the ventilation source to determine collapse of the body passageway and formation of a seal at the first opening; where the control system is further configured selectively to form a ventilation path from the gas supply lumen to the first lumen or second lumen by selecting the first lumen as the ventilation path if collapse of the body passageway is not determined; and selecting the second lumen as the ventilation path if collapse of the body passageway is determined; and where the control system is capable of ventilating the individual through the ventilation path and maintaining suction while ventilating through the second lumen to prevent fluid from passing through the collapsed body passageway. a tubular member having at least a first lumen and second lumen, where the first lumen is fluidly coupled to a first opening located towards a distal portion of the tubular member, the second lumen is fluidly coupled to a medial opening located proximal to the first opening along a wall of the tubular member, and the first opening and medial opening are fluidly isolated within the tubular member; a control system having a suction source and a gas supply lumen, the control system having a valve configured to fluidly couple a ventilation source to either the first lumen or the second lumen, the control system also capable of applying suction through the first opening and first lumen, and the control system configured to monitor a fluid parameter of the ventilation source to determine collapse of the body passageway and formation of a seal at the first opening; where the control system is further configured selectively to form a ventilation path from the gas supply lumen to the first lumen or second lumen by selecting the first lumen as the ventilation path if collapse of the body passageway is not determined; and selecting the second lumen as the ventilation path if collapse of the body passageway is determined; and selecting the first lumen as the ventilation path if collapse of the body passageway is not determined; and selecting the second lumen as the ventilation path if collapse of the body passageway is determined; and where the control system is capable of ventilating the individual through the ventilation path and maintaining suction while ventilating through the second lumen to prevent fluid from passing through the collapsed body passageway.