Podcast 522: e-Cigarette and Vaping Related Lung Injury

Contributor: John Winkler, MD

Educational Pearls:

• Vaping-related lung injury initially presents with flu-like symptoms and can progress to respiratory failure requiring aggressive resuscitation including ECMO
• It is thought to be related to the contents of homemade vaping fluid, mostly in THC-containing products ("brands" include DankVapes, PaxPen)
• Ask patients with vague constitutional or respiratory symptoms about their vape use

References

What are the respiratory effects of e-cigarettes? Gotts JE, Jordt SE, McConnell R, Tarran R BMJ. 2019;366:l5275. Epub 2019 Sep 30.

Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report.Layden JE, Ghinai I, Pray I, Kimball A, Layer M, Tenforde M, Navon L, Hoots B, Salvatore PP, Elderbrook M, Haupt T, Kanne J, Patel MT, Saathoff-Huber L, King BA, Schier JG, Mikosz CA, Meiman J N Engl J Med. 2019; 

Vaping-Associated Acute Lung Injury: A Case Series. Triantafyllou GA, Tiberio PJ, Zou RH, Lamberty PE, Lynch MJ, Kreit JW, Gladwin MT, Morris A, Chiarchiaro J. Am J Respir Crit Care Med. 2019; 

Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD