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Related Experiment Video

Updated: Oct 22, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

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Perioperative Implications of Vaping.

Amogha Krishna¹, Wana Mathieu², Eric Mull³

¹Heritage College of Osteopathic Medicine, Dublin, OH, USA.

Journal of Medical Cases

|August 26, 2021

Summary

Electronic cigarette use has risen, posing acute and chronic risks to the respiratory system. Anesthetic care may be needed for vaping-related respiratory symptoms, as seen in an adolescent undergoing bronchoscopy.

Keywords:

Airway reactivity E-cigarettes Tobacco Vaping

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Published on: October 23, 2018

Area of Science:

Pulmonology
Anesthesiology
Toxicology

Background:

Electronic cigarette (e-cigarette) use has significantly increased over the last 10-15 years, with devices delivering nicotine via aerosolization.
While long-term lung cancer risks are unknown, e-cigarette aerosol contains chemicals and impurities that can cause acute and chronic respiratory issues.

Observation:

Concerns exist regarding acute and chronic health risks, including pneumonitis, airway reactivity, and respiratory failure.
Anesthetic management may be necessary for diagnostic procedures like bronchoscopy to evaluate vaping-associated respiratory symptoms.
A case is presented of an adolescent requiring bronchoscopy and bronchoalveolar lavage due to respiratory involvement after vaping.

Findings:

The case highlights the potential for severe respiratory compromise following e-cigarette use.
Discussion includes the systemic and end-organ effects of nicotine, tobacco smoke, and vaping.
Potential anesthetic implications for managing patients with vaping-related respiratory distress are explored.

Implications:

Healthcare providers must be aware of the emerging respiratory risks associated with e-cigarette use.
Anesthesiologists should consider vaping history when assessing patients with respiratory complaints.
Further research is needed to understand the full spectrum of health effects and guide clinical management.