E-Cigarettes: What Anesthetic Personnel Need to Know?
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The rise in electronic cigarette (e-cigarette) use, commonly known as vaping, presents unique challenges for anesthetic management. E-cigarettes are associated with significant physiological effects on the respiratory, cardiovascular, and immune systems. These effects have direct implications for perioperative management, influencing preoperative assessment, intraoperative management, and postoperative recovery. The significant considerations include airway hyperreactivity, impaired gas exchange, cardiovascular instability, and heightened susceptibility to infections. Anesthetic personnel must conduct thorough preoperative assessments, implement tailored intraoperative strategies, and provide vigilant postoperative monitoring to mitigate risks. Understanding the interplay between e-cigarette use and anesthesia is essential for enhancing patient safety and improving perioperative care in this growing population.
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Amornyotin S. Role of an anesthesiologist in smoking patients undergoing endoscopic procedures. J Addict Med Ther Sci. 2017;3:030-1.
Hiemstra PS, Bals R. Basic science of electronic cigarettes: assessment in cell culture and in vivo models. Respir Res. 2016;17:127.
Hobson A, Arndt K, Barenklau S. Vaping: anesthesia considerations for patients using electronic cigarettes. AANA J. 2020;88:27-34.
Rebuli ME, Rose JJ, Noël A, et al. The e-cigarette or vaping product use-associated lung injury epidemic: pathogenesis, management, and future directions: an official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2023;20:1-17.
Masso-Silva JA, Moshensky A, Shin J, et al. Chronic e-cigarette aerosol inhalation alters the immune state of the lungs and increases ACE2 expression, raising concern for altered response and susceptibility to SARS-CoV-2. Front Physiol. 2021;12:649604.
Wei X, Iakovou A, Makaryus MR, Khanijo S. Pulmonary function testing in patients with e-cigarette, or vaping, product use-associated lung injury. Cureus. 2021;13:e17019.
Meade MO, Cook DJ, Guyatt GH, et al. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA. 2008;299:637-45.
McLaughlin I, Dani JA, De Biasi M. Nicotine withdrawal. Curr Top Behav Neurosci. 2015;24:99-123.
Pbert L, Dubé CE, Nagawa CS, Simone DP, Wijesundara J, Sadasivam R. Vaping cessation support recommendations from adolescents who vape: a qualitative study. Res Sq [Preprint]. 2024;Mar 20:rs.3.rs-4077848.
Amornyotin S, Prakanrattana U, Chalayonnawin W, Kongphlay S. Brief advice offered by anesthetic personnel to encourage smoking cessation in ambulatory gastrointestinal endoscopic patients in a developing country. Int J Life Sci Med Res. 2012;2:37-42.
Heller ZA, Adlesic EC, Portnof JE. Implications of electronic cigarettes on the safe administration of sedation and general anesthesia in the outpatient dental setting. Anesth Prog. 2022;69:41-52.
