What is a potential issue with giving rescue breaths during pediatric cardiac arrest?

During pediatric cardiac arrest, one of the significant concerns with administering rescue breaths is the risk of gastric insufflation or thoracic splintering. When rescue breaths are given, especially if not delivered properly, air can enter the stomach rather than the lungs. This condition, known as gastric insufflation, can lead to the stomach becoming distended, which can subsequently impede effective ventilation and may increase the risk for regurgitation and aspiration.

Additionally, excessive pressure might inadvertently create a situation where the thoracic cavity is compromised, causing splintering or injury to the thoracic structures. This can further complicate the clinical scenario, as it can impair the mechanics of breathing and negatively impact hemodynamics during resuscitation efforts. Thus, understanding the risks associated with rescue breaths, particularly in pediatric patients, is crucial for improving outcomes during resuscitation attempts.