Heartsaver First Aid Part I Progress Indicator: Question 3 of 22 3.  Which is NOT a disadvantage to percutaneous transtracheal catheter ventilation? p. 274 Choices: It may not allow for efficient elimination of carbon dioxide It may perforate the trachea if the needle is inserted too far It may lead to pneumothorax due to high pressures generated during ventilation It does not allow for direct suctioning of secretions