An endotracheal intubation device has a flexible main tube having an outer end and a patient end for permitting passage of air from an environment outside a patient into a trachea of the patient when the patient is intubated with the device. An inflatable and deflatable balloon is attached to the main tube at a position closer to the patient end than the outer end of the main tube. The balloon is inflatable in the trachea to immobilize the main tube in the trachea. The balloon has a wall and the wall has a recess in a top surface thereof for collecting fluid secretions of the patient intubated with the device to prevent the fluid secretions from passing down the trachea into lungs when the balloon is deflated in the trachea. Preventing fluid from reaching the lungs when the device is removed reduces risk of ventilator associated pneumonia (VAP).