~~The subglottic secretion suction with the aim to reduce the VAP rate of patients with an expected ventilation period of more than 72 hours was classified as category IA of the recommendations by the German Commission for Hospital Hygiene and Infectious Disease Prevention (guidelines for hospital hygiene and infection prevention issued by the Robert Koch Institute, KRINKO)*. The recommendation specifies that the cuff pressure level should be set between 20 and 30 cm H2O and checked at regular intervals. The recommendation is part of category IB. When these two actions are taken in combination, they can help to reduce the incidence of pneumonia.