{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:48:53Z","timestamp":1771030133826,"version":"3.50.1"},"reference-count":16,"publisher":"Springer Publishing Company","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2005,9]]},"abstract":"<jats:p>Newborn lungs are particularly susceptible to pathophysiology. Respiratory distress commonly brings infants to the intensive care nursery. Premature birth compromises the infant\u2019s ability to respond to early lung dysfunction because of the reduced functional reserve available at younger gestational ages. The respiratory pump consists of respiratory musculature and the chest wall. The respiratory pump is the physiologic \u201cmachine\u201d that responds to lung pathology. From gestation onward, components of the pump undergo developmental changes that influence its compensatory ability in the neonate. Careful observation of the synchrony of the chest wall and abdomen during spontaneous breathing efforts assists the caretaker in detecting respiratory compromise and impending respiratory failure. Noninvasive monitoring of respiratory patterns is a valuable tool for the neonatal caregiver, who must understand the developmental changes in the respiratory pump and be able to identify an infant\u2019s ineffective responses to lung pathophysiology.<\/jats:p>","DOI":"10.1891\/0730-0832.24.5.15","type":"journal-article","created":{"date-parts":[[2011,11,16]],"date-time":"2011-11-16T09:28:18Z","timestamp":1321435698000},"page":"15-22","source":"Crossref","is-referenced-by-count":16,"title":["The Neonatal Respiratory Pump: A Developmental Challenge with Physiologic Limitations"],"prefix":"10.1891","volume":"24","author":[{"given":"Jay","family":"Greenspan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Shaffer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2005,9,1]]},"reference":[{"issue":"3","key":"1","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/S0022-3476(05)82057-8","article-title":"Immediate improvement in lung volume after exogenous surfactant: Alveolar recruitment versus increased distention.","volume":"119","author":"LS Goldsmith","year":"1991","journal-title":"The Journal of Pediatrics"},{"issue":"4","key":"2","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/S0022-3476(88)80391-3","article-title":"Sequential changes in pulmonary mechanics in the very low birth weight (less than or equal to 1000 grams) infant.","volume":"113","author":"JS Greenspan","year":"1988","journal-title":"The Journal of Pediatrics"},{"issue":"4","key":"3","first-page":"31","article-title":"Pulmonary function testing in the critically ill neonate. 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