An endotracheal tube which facilitates rapid intubation of the trachea, especially in situations where anatomical variation creates difficult intubating conditions, includes a portion that can be bent during placement to control the position of the distal end of the tube. The distal end of the endotracheal tube may be selectively curled or bent by a mechanism or fluid passage accessible from the proximal end of the endotracheal tube. The endotracheal tube provides for manipulation of the insertion end without occluding the lumen of the tube, to facilitate placement of the tube.