Abstract: A nasopharyngeal device comprises an adjustment mechanism comprising a bolster on a first portion, tubular airway portion extending away from the bolster wherein a continuous airway is provided through an entire length of the airway defined through the bolster and the tubular airway portion, and the tubular airway portion extends froth a proximal end adjustably coupled with the first portion of the adjustment mechanism to a distal tip of the tubular airway portion, wherein the first portion is adjustably coupled to the proximal end of the tubular airway portion such that the first portion slidingly adjusts a length of the first portion within the proximal end of the tubular airway portion such that a distance between the bolster and the distal tip is selectively adjusted to a specific nare to epiglottis distance.