B. Complications associated with ventilation and monitoring (1) Pulmonary artery catheter: complications noted with catheter insertion such as pneumothorax, air embolism, or arrhythmias; complications occurring with catheter in place such as pulmonary artery rupture, site infection or thrombosis. (2) Tracheal intubation: a. during the intubation; prolonged intubation > 2–3min; b. cannulation of the right mainstem with atelectasis, hyperventilation, or pneumothorax; c. During the course of intubation; mechanical dysfunction, cuff leak associated with abnormal arterial blood gases acidosis = pH ≤ 7.3 with PCO2 ≥ 55 or alkalosis = pH ≥ 7.52 with PCO2 ≤ 35), or SaO2 drop < 90%; d. tracheal stenosis and e. self extubation; f. after removal of endotracheal or tracheostomy tube; cuff related injuries, vocal cord damage, erosion; g. Trache stoma bleeding and/or blood in secretions, associated with a drop in hemoglobin > 1 g/24 h.