Nursing Student Class Projects (Formerly MSN)

Academic Term

Summer 2022

Document Type


Course Number

NURS 6810-01

Course Name

Advanced Pathophysiology for the Advanced Practice Nurse

Professor’s Name

Dr. Deana Batross & Dr. Shivani Bhatnagar


Vaping, EVALI, JUUL, Electronic - Cigarette, E - Cig, Anesthesia

Subject Categories

Medicine and Health Sciences | Nursing


Electronic cigarettes (ECs) became available in the United States in 2007. They were originally marketed as a safer alternative to smoking (Arndt et al., 2020). The number of users has exceeded 14M people in the U.S. (Bulat et al., 2022). ECs are not as regulated as tobacco cigarettes. The levels of nicotine in the e-liquid vary significantly and the Federal Drug Administration (FDA) does not regulate the non-nicotine ingredients in e-liquid (Krishna et al., 2020). The vapor from ECs contains heavy metals, volatile hydrocarbons, and over 70 carcinogenic substances. Lung damage from EC use has created a new respiratory ailment, e-cigarette, or vaping use-associated lung injury (EVALI) (Traboulsi et al., 2020). Histological lung samples from patients with EVALI have been described as burnt, black lungs. These patients present new challenges for Anesthesia providers. EC usage affects the central nervous system, lung function, and some of the drugs used in the operating room like anesthesia. It is vital for anesthesia providers to be aware of the vaping status of their patients and the implications of vaping on anesthesia.


Arndt, K., Barenklau, S., & Hobson, A. (2020). Vaping: anesthesia considerations for patients using electronic cigarettes. AANA Journal, 88(1), 27–34.

Bulat, E., Komlan, A. G., Bonaparte, C., White, R., & Jotwani, R. (2022). Perioperative considerations of patient E-cigarette use for the anesthesiologist. Journal of Clinical Anesthesia, 78, 110619.

Franzen, K. F., Willig, J., Cayo Talavera, S., Meusel, M., Sayk, F., Reppel, M., Dalhoff, K., Mortensen, K., & Droemann, D. (2018). E-cigarettes and cigarettes worsen peripheral and central hemodynamics as well as arterial stiffness: A randomized, double-blinded pilot study. Vascular Medicine, 23(5), 419–425.

Krishna, A., Mathieu, W., Mull, E., & Tobias, J. D. (2020). Perioperative implications of vaping. Journal of Medical Cases, 11(5), 129–134.

Lin, V. Y., Fain, M. D., Jackson, P. L., Berryhill, T. F., Wilson, L. S., Mazur, M., Barnes, S. J., Blalock, J. E., Raju, S. V., & Rowe, S. M. (2019). Vaporized e-cigarette liquids induce ion transport dysfunction in airway epithelia. American Journal of Respiratory Cell and Molecular Biology, 61(2), 162–173.

Licensing Permission

Copyright, some rights reserved. Attribution – Noncommercial – Share Alike

Included in

Nursing Commons



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