Nursing Student Class Projects (Formerly MSN)
Academic Term
Summer 2022
Document Type
Project
Course Number
NURS 6810-01
Course Name
Advanced Pathophysiology for the Advanced Practice Nurse
Professor’s Name
Dr. Deana Batross & Dr. Shivani Bhatnagar
Keywords
Vaping, EVALI, JUUL, Electronic - Cigarette, E - Cig, Anesthesia
Subject Categories
Medicine and Health Sciences | Nursing
Abstract
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.
References
Arndt, K., Barenklau, S., & Hobson, A. (2020). Vaping: anesthesia considerations for patients using electronic cigarettes. AANA Journal, 88(1), 27–34. https://www.aana.com/docs/default-source/aana-journal-web-documents-1/vaping-anesthesia-considerations-for-patients-using-electronic-cigarettes-february-2020.pdf?sfvrsn=e7aa6b3_6
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. https://doi.org/10.1016/j.jclinane.2021.110619
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. https://doi.org/10.1177/1358863x18779694
Krishna, A., Mathieu, W., Mull, E., & Tobias, J. D. (2020). Perioperative implications of vaping. Journal of Medical Cases, 11(5), 129–134. https://doi.org/10.14740/jmc3451
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. https://doi.org/10.1165/rcmb.2017-0432oc
Licensing Permission
Copyright, some rights reserved. Attribution – Noncommercial – Share Alike
Recommended Citation
Robinson, Duane, "Electronic - Cigarettes and Anesthesia Implications" (2022). Nursing Student Class Projects (Formerly MSN). 525.
https://digitalcommons.otterbein.edu/stu_msn/525