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Featured Articles: Infographic

Beyond the Smoke Screen: Vaping in Adolescents

Shah, Sonali; Weber, Garret MD; Nathan, Naveen MD

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doi: 10.1213/ANE.0000000000005684

In this issue of Anesthesia & Analgesia, Rusy et al offer a comprehensive discussion of e-cigarette–induced lung injury in the adolescent population. This narrative review discusses the spectrum of disease severity related to vaping-associated lung injury. Although respiratory complications are logically predicted, at the extreme end point of the scale, the need for extracorporeal membrane oxygenation may even be required in some cases. This infographic illustrates some of the many concepts discussed in this review. Clinical presentation typically involves constitutional, cardiopulmonary, and gastrointestinal systems. Risk factors for developing e-cigarette or vaping-associated lung injury (EVALI) include the addition of tetrahydrocannabinol (THC) in the inhalant, increased frequency of use, preexisting asthma, and respiratory toxins. There is an expected increase in the incidence of EVALI considering the marketing toward younger demographics. The reader is encouraged to review the cited article in its entirety for a full scope and understanding of this disease process.

    REFERENCES

    1. Rusy DA, Honkanen A, Landrigan-Ossar MF, et al. Vaping and e-cigarette use in children and adolescents: implications on perioperative care from the American Society of Anesthesiologists Committee on Pediatric Anesthesia, Society for Pediatric Anesthesia and American Academy of Pediatrics Section on Anesthesiology and Pain Medicine. Vaping and e-cigarette use in children and adolescents: implications on perioperative care from the American Society of Anesthesiologists Committee on Pediatric Anesthesia, Society for Pediatric Anesthesia and American Academy of Pediatrics Section on Anesthesiology and Pain Medicine. Anesth Analg. 2021;133:562–568.
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