Abstract: A conscious sedation airway, CSA, useable during conscious or unconscious sedation. The CSA includes an elongate body with an anterior flange depending therefrom. The body includes a central portion with superior and inferior plates extending a distance beyond a distal end of the body in an inferiorly curved arrangement. A midline opening and two lateral openings extend through the length of the central portion and are configured to receive apparatus, like endoscopes, cannula, and catheters. The superior and inferior plates aid to maintain a position of the tongue and to guide apparatus inserted through the midline opening toward the posterior oropharynx. The anterior flange prevents swallowing the CSA. The body does not extend into the pharynx to enable use in conscious patients and/or those with intact gag reflexes. And a nasopharyngeal airway can be placed without removing the CSA to allow bag ventilation of the patient.