A novel and non-obvious apparatus, system, and method for managing respiratory secretions and fluids in sections of artificial airways. In an embodiment of the invention, a respiratory secretion retention (RSR) device configured to connect to an artificial airway can be provided. The respiratory secretion retention (RSR) device can include a housing that defines a passageway for the flow of respiratory gases, a chamber that is defined by the housing, where a portion of the chamber is configured to retain exhaled respiratory particulate and liquid, and at least one element configured to provide for repositioning at least a portion of the housing with respect to the artificial airway. In an aspect of this embodiment, the at least a portion of the housing can be repositioned with respect to the artificial airway without opening the artificial airway to the atmosphere.