Keywords
lung injuries
eletronic nicotine delivery system
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To analyze the development of lung lesions as a consequence of the use of electronic cigarettes. Methods: This is an integrative review. The databases used are the National Library of Medicine, Virtual Health Library and Directory of Open Access Journals. The search for articles was done through descriptors, namely “vaping”, “lung injuries” and “electronic nicotine delivery systems”. The review was carried out following the following steps: establishment of the theme; definition of eligibility parameters; definition of inclusion and exclusion criteria; verification of publications in databases; examination of the information found; analysis of the studies found and exposition of the results. Results: E-cigarette users are mostly young men aged between 18 and 34 years. It can be observed, in users who associate tetrahydrocarbinol (THC) with electronic cigarettes, the probability of complications and hospital admissions increased. The imaging tests showed abnormal findings in all studies analyzed in this literature review, most of which were diffuse bilateral opacities on chest radiographs. Final considerations: In view of the articles analyzed, it is considered that electronic cigarettes are not a safe alternative to smoking and that the pathophysiology of the disease behind their use needs to be better clarified.
References
BILLA R, et al. E-Cigarette, or Vaping, Product Use Associated Lung Injury (EVALI) with Acute Respiratory Failure in Three Adolescent Patients: a Clinical Timeline, Treatment, and Product Analysis. Journal of Medical Toxicology, 2020; 16(3): 248–54.
BORCHERT DH, et al. Reporting of pneumothorax in association with vaping devices and electronic cigarettes. BMJ Case Reports, 2021; 14(12): e247844.
CHAND HS, et al. Pulmonary Toxicity and the Pathophysiology of Electronic Cigarette, or Vaping Product, Use Associated Lung Injury. Front. Pharmacol., 2020; 10: 1-7.
CORCORAN A, et al. The importance of anti‐vaping vigilance—EVALI in seven adolescent pediatric patients in Northeast Ohio. Pediatric Pulmonology, 2020; 55(7): 1719–24.
DELIWALA S, et al. E-cigarette, or Vaping, Product Use-associated Lung Injury (EVALI): Acute Lung Illness within Hours of Switching from Traditional to E-cigarettes. Cureus, 2020.
GANNE N, et al. E-cigarette or vaping product use-associated lung injury (EVALI) masquerading as COVID-19. BMJ Case Reports, 2021; 14(7): e243885.
HADARA HOLLY A., et al. A 20-Year-Old Man with e-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) and Thrombotic Coagulopathy. Am J Case Rep, 2021; 22: e929915.
HASSOUN A, et al. Vaping-Associated Lung Injury During COVID-19 Multisystem Inflammatory Syndrome Outbreak. The Journal of Emergency Medicine, 2020.
LANDMAN ST, et al. Life-threatening bronchiolitis related to electronic cigarette use in a Canadian youth. Canadian Medical Association Journal [Internet]., 2019; 191(48): E1321–31.
LU MA, et al. Vaping-related Lung Injury in an Adolescent. American Journal of Respiratory and Critical Care Medicine, 2020; 201(4): 481–2.
LUCERO A, et al. A 23-year-old man with acute lung injury after using a tetrahydrocannabinol-containing vaping device: a case report. J Med Case Reports, 2021; 15(70).
MACMURDO M, et al. e-Cigarette or Vaping Product Use-Associated Lung Injury Clinical, Radiologic, and Pathologic Findings of 15 Cases. Chest Journal, 2020; 157-6: 181-87.
MATTA P, et al. E-cigarette or Vaping Product Use–Associated Lung Injury (EVALI) Without Respiratory Symptoms. Pediatrics, 2020; 145(5): e20193408.
MENEZES IL, et al. Cigarro Eletrônico: Mocinho ou Vilão? Revista Estomatológica Herediana, 2021; 31(1): 28–36.
SALZMAN GA, et al. Vaping Associated Lung Injury (EVALI): An Explosive United States Epidemic. Missouri Medicine [Internet], 2019; 116(6): 492–6.
SANTOS UP. Cigarro eletrônico - repaginação e renovação da indústria do tabagismo. J bras pneumol., 2018; 44: 345–346.
SMITH ML, et al. Vaping-related lung injury. Virchows Arch, 2020; 1–8.
INSTITUTO NACIONAL DE CÂNCER (INCA). Tabagismo, 2018; Disponível em: https://www.inca.gov.br/tabagismo. Acessado: 15 de maio de 2022.
THE LANCET RESPIRATORY MEDICINE. The EVALI outbreak and vaping in the COVID-19 era. Lancet Respir Med., 2020; 8(9): 831.
WINNICKA L, SHENOY MA. EVALI and the Pulmonary Toxicity of Electronic Cigarettes: A Review. J Gen Intern Med., 2020; 35(7): 2130–2135.
D’ALMEIDA PCV, et al. Lesões Pulmonares Associadas ao Uso do Cigarro Eletrônico. Un São Camilo, 2020: 92-120.