A systematic review examining the pulmonary effects of electronic vapor delivery systems - 08/09/22
, Kashica J. Webber-Ritchey, PhD, MHA, RN c , Christopher H. Parker, PhD, MS d , Shannon D. Simonovich, PhD, RN c, ⁎ Abstract |
Study objective |
Despite the popularity of vaping and electronic vapor delivery systems (EVDS), the healthcare community remains largely unfamiliar with their potential to induce harm. The purpose of this systematic review is to identify how EVDS use affects the pulmonary system in order to support future anesthetic guidelines for patients who vape.
Design |
Systematic Review. An electronic search of databases CINAHL and PubMed was performed in October 2020.
Study eligibility criteria |
Studies were included if they were deemed original research published in English, if they were performed exclusively in humans or on human tissue, if they examined the effects of EVDS on pulmonary function or tissue, and/or if they produced quantitative data. Studies were excluded if they utilized animal samples, studied subjects under the age of 18, presented expert opinions or reviews, offered qualitative data, reported case studies, or only evaluated EVDS' efficacy as a smoking cessation tool.
Main results |
This review identified six EVDS-induced pulmonary implications warranting anesthetic consideration: alterations in pulmonary function tests, disrupted ventilation, impaired mucociliary clearance, tissue destruction, a disrupted immune response, and oxidative stress with DNA fragmentation.
Conclusion |
A total of 38 studies described the effects of EVDS on pulmonary function, airway epithelial tissue, and inflammatory mechanisms that may lead to chronic pulmonary disease. Anesthesia providers are encouraged to assess patients for EVDS use during the preoperative period and use the information generated by this systematic review to drive subsequent care.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Electronic Vapor Delivery systems have significant negative impacts on pulmonary function. |
• | Electronic Vapor Delivery systems disrupt pulmonary function and increase airway resistance. |
• | Electronic Vapor Delivery systems create alterations in ventilation and impair mucociliary clearance. |
• | Anethesia providers should assess patients for Electronic Vapor Delivery system usage during perioperative encounters. |
Keywords : Vaping, Anesthesia, Electronic cigarette, Electronic vapor delivery system, Pulmonary function
Plan
Vol 82
Article 110952- novembre 2022 Retour au numéro
Article précédent
- Does residency program social media activity correlate with prospective applicant interest?
- Max M. Feinstein, Ira Schlosberg, Da Wi Shin, Cynthia R. Mercedes, Matthew Sison, Daniel Katz, Marc Sherwin
- Corrigendum to “Preoperative sedation in children with congenital heart disease: 50% and 95% effective doses, hemodynamic effects, and safety of intranasal dexmedetomidine”. [Journal of Clinical Anesthesia, Volume 81, (2022)/ Article 110908]
- Lin Qiu, Longyin Cao, Zhibin Lang, Xue Li, Hongqi Lin, Taibing Fan
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?