Which of the following clues suggest tension pneumothorax in an intubated patient?

A) Sudden onset of severe hypotension and desaturation
B) Decreased breath sounds on the affected side and tracheal deviation
C) Elevated central venous pressure (CVP) and widened mediastinum on chest X-ray
D) Hyperresonance on percussion and decreased tactile fremitus
E) Normal chest X-ray and stable vital signs