Intubated patients are at risk for VAP because of their
poor cough and gag reflexes and their immobility.Furthermore,
the risk for VAP is greater for intubated children
than for intubated adults; the associated devices
include uncuffed endotracheal tubes, nasally placed
endotracheal tubes, open-circuit suctioning, use of physiological
saline during suctioning, and developing teeth.