Abstract: Oral airway securing devices can have multifunction adapters located at the airway tube distal end. Airway tubes provide clear airways that passes through patients' mouths and, usually, to the trachea where a cuff seals the airway tube inside the patient's airway. The multifunction adapter is fixed to the end of the airway tube outside of the patient and provides an attachment point for attaching ventilation devices that can help a patient breath through the airway tube. The multifunction adapter also provides attachment points for the pilot cuff and air syringe to thereby reliably secure them. An angled hole in the multifunction adapter can hold a syringe adapter such that the pilot cuff is held in place. An air syringe attached to the syringe adapter can be held in position at an angle avoiding interference with ventilation devices such as air bags and ventilators.