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Video reviews
Available from Ward Reception, Lane Fox Unit, St Thomas’s Hospital, Lambeth Palace Road, London SE1 7EH £12 each version including postage, payable to ‘Lane Fox Unit’
a concise overview of respiratory physiology and an explanation as to the areas in which NIV is used. The wide variety of machines on the market is discussed, as well as the different types of consumables, including the advantages and disadvantages of the masks available. The video uses a mixture of written information as well as complementary practical applications, all of which is divided into logical sections. There is also some in-depth discussion of practical problems, and some solutions which are not always explained by manufacturers. I feel that this video is a useful adjunct when training health professionals in the use of NIV and that every physiotherapy department involved in NIV and its training should have a copy.
This video is designed to aid the training of health professionals who are involved in non-invasive ventilation (NIV). It begins with
Victoria White MCSP
Non-invasive Ventilation in Acute Respiratory Failure Guy’s and St Thomas’ Hospitals 1999. Two versions – for staff training or patient education. 25 minutes each. Narrated by A C Davidson FRCS, demonstrated by Sarah Keilty MSc MCSP
Glossopharyngeal (‘Frog’) Breathing What, when and how? Produced by Barbara Webber FCSP and Jane Higgens MCSP 1999. 43 minutes. Available from Miss B A Webber, Sunnybank, The Platt, Amersham, Bucks HP7 0HX £20 for VHS, £30 for NTSC, both including packing and postage, payable to ‘GPB Video’ This video gives a comprehensive overview of glossopharyngeal breathing (GPB), also known as ‘frog breathing’, a technique which was first taught to polio victims in the 1950s. However, this is not an historical account of an outdated method of breathing, but an educational video showing how this technique can be applied, with enormous benefit, to many people with respiratory muscle weakness today. The video begins by showing several patients suffering from long-term respiratory muscle weakness demonstrating GPB and explaining how the technique is of particular benefit to them. The benefits they mention include more effective coughing, temporary/permanent independence from a ventilator, and more audible speech. The main section of the video features Jane Higgens, one of
the first physiotherapists in the UK to teach GPB, who demonstrates how the technique can be taught. The technique is broken down into three stages for ease of teaching and is carefully paced so that viewers previously unfamiliar with GPB can easily grasp the essential components. The video goes on to show how to correct and improve the technique of a patient relatively new to GPB and also includes a demonstration of the difference GPB can make to vital capacity. Later sections of the video deal with troubleshooting problems such as poor soft palate control and weak vocal cords, and answer questions such as whether GPB can be taught to patients with a tracheostomy. The video is supplied with a leaflet which summarises the teaching of the technique and provides some useful references both to original 1950s papers and to some more recent articles. Glossopharyngeal breathing is shown to be of particular benefit to patients who have had polio, a cervical spine injury or muscular dystrophy. My impression is that this video would provide an excellent background for any physiotherapist working with patients who suffer from respiratory muscle weakness, who wishes to know more about GPB or who would like to be able to teach the technique to patients. It would also be suitable to show patients as a supplement to one-to-one teaching of this method of breathing.
Alison Gilbert MSc MCSP Physiotherapy April 2000/vol 86/no 4