Electronic cigarettes and vaping associated pulmonary illness (VAPI): A narrative review
| Autor: | V. Fretz, René Hage, Macé M. Schuurmans |
|---|---|
| Přispěvatelé: | University of Zurich, Hage, R |
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Lung Diseases Male medicine.medical_specialty Adolescent Adverse outcomes Constitutional symptoms 610 Medicine & health Lung injury Azithromycin Electronic Nicotine Delivery Systems Bronchoalveolar Lavage 03 medical and health sciences 0302 clinical medicine Adrenal Cortex Hormones medicine Humans 030212 general & internal medicine Intensive care medicine business.industry Vaping Lung Injury Middle Aged medicine.disease Anti-Bacterial Agents Treatment Outcome 030228 respiratory system Respiratory failure 2740 Pulmonary and Respiratory Medicine Bronchiolitis Etiology Observational study Narrative review Female 10178 Clinic for Pneumology business Respiratory Insufficiency Tomography X-Ray Computed |
| Zdroj: | Pulmonology. 26(5) |
| ISSN: | 2531-0437 |
| Popis: | Background Electronic (e-) cigarettes are used to heat liquids producing aerosols for inhalation. Recently there have been reports of a large number of adverse outcomes relating to e-cigarette consumption (vaping), which has been referred to as “vaping associated pulmonary illness” (VAPI). Aim This review provides an overview of clinical, radiological and pathological features of VAPI in the literature. We also describe a case of VAPI, presenting with symptoms of bronchiolitis, responding well to azithromycin in addition to the usual treatments provided for such cases. Methods We searched original papers, observational studies, case reports, and meta-analyses published between 2000 and 2019 in English in PubMed database using the keywords: e-cigarette, “vaping associated pulmonary illness”, VAPI, EVALI, vaping AND “lung injury”. We also used data of the Centers of Disease Control (CDC) website. Results From an initial search of PubMed, 62 potential articles were identified, and another 9 studies were identified from the bibliographies of retrieved articles. In this search we found 7 case series and 16 case reports, which were included in the review. In this search we also found 4 review articles. Conclusion VAPI is a syndrome presenting with isolated pulmonary or combined pulmonary, gastrointestinal and constitutional symptoms and can be rapidly progressive, leading to respiratory failure, often requiring invasive respiratory support. There is an urgent need for more research on VAPI especially relating to etiology, treatment and prevention. |
| Databáze: | OpenAIRE |
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