Lung injury associated with electronic cigarette or vaping product use (EVALI): an integrative review
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Abstract
Objective: To analyze the scientific production on possible lung injuries in young adult electronic cigarette users identified in the EVALI diagnosis. Methods: This was an Integrative Literature Review study, searching the PubMed, Scielo and Lilacs databases, published in the last 5 years. A total of 204 articles were found and 12 full articles were selected to compose the study. Articles were inserted that addressed lung injury after electronic cigarette use, its and clinical outcome and management. Results: The damage caused to the respiratory epithelium involves the relationship of the pathological process and the constituents of the electronic cigarette, especially vitamin E, which has the ability to promote acute inflammatory processes. Diagnostic methods using computed tomography highlight nonspecific findings, such as bilateral infiltrates and ground-glass opacities, which may be complementary to the clinical findings. Drug treatment is therefore based on medications that result in an anti-inflammatory response. Final Considerations: EVALI remains a pulmonary pathology of diagnosis by exclusion, with the need for a clinical radiological diagnosis for confirmation or differential with other lung diseases.
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