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Vaping-Associated Lung Disease
Aka: Vaping-Associated Lung Disease
- See Also
- Electronic Cigarette (E-Cigarette, Vaping)
- Acute Nicotine Poisoning
- Epidemiology
- CDC is reporting 805 Vaping-related severe lung injury cases (and 10 deaths) as of 9/25/2019
- Mechanisms
- Acute Interstitial Lung Disease
- Related to diacetyl, flavorings, and solvents
- Lipoid Pneumonia (from oil aspiration) with Alveolar Macrophage infiltration
- Vitamin E and diacetyl-induced popcorn lung have also been seen with Vaping
- Symptoms
- Fever and chills
- Fatigue
- Non-productive cough
- Dyspnea
- Chest Pain
- Nausea
- Vomiting
- Abdominal Pain
- Signs
- Pulse Oximetry
- Hypoxia
- Labs
- Complete Blood Count
- Leukocytosis
- Imaging
- Chest XRay
- Infiltrates may be present
- CT Chest
- Ground glass opacities may be present
- Management
- Hypoxia
- Supplemental Oxygen
- Noninvasive Positive Pressure Ventilation (e.g.BIPAP)
- Endotracheal Intubation
- Adjunctive
- High dose IV Corticosteroids
- Refractory, Critical Illness (e.g. cardiopulmonary collapse)
- ECMO
- Resources
- CDC
- https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html
- References
- Tomaszekski (2019) Crit Dec Emerg Med 33(10): 23