Guidance on the Clinical Management of Electronic Cigarette or Vaping-Associated Lung Injury

• Type of Material: Article
• Authors: Shawn J. Rice, Penn State Cancer Institute; Victoria Hyland, Penn State Cancer Institute; Madhusmita Behera, Emory University; Suresh Ramalingam, Emory University; Paul Bunn, University of Colorado; Chandra P. Belani, Penn State Cancer Institute
• Language: English
• Date: 2020-11-01
• Publisher: Elsevier Science Inc.
• Publication Version: Final Published Version
• Copyright Statement: © 2020 International Association for the Study of Lung Cancer. Published by Elsevier Inc.
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jtho.2020.08.012
• Title of Journal or Parent Work: Journal of Thoracic Oncology
• Volume: 15
• Issue: 11
• Start Page: 1727
• End Page: 1737
• Grant/Funding Information: None declared
• Keywords: Respiratory System; EVALI; Substance use; Life Sciences & Biomedicine; E-cigarettes; Science & Technology; Vaping; Nationwide outbreak; Death; United States; Hospitalized patients; Product; Oncology; Rehospitalization; Discharge; Lung injury
• Research Categories: Health Sciences, Oncology; Health Sciences, Medicine and Surgery; Health Sciences, Public Health

Abstract

In the summer of 2019, there was a rise in clusters of adolescents and young adults in the United States reporting to emergency departments with acute respiratory distress related to use of e-cigarette (electronic cigarette) or vaping. The number of patients with e-cigarette or vaping-associated lung injury continued to rise through the summer before peaking in September 2019. Through the efforts of state and federal public health agencies, officials were able to define the condition, identify the relationship of the respiratory injury to tetrahydrocannabinol-containing products, and stem the rise in new cases. In this report, we present a comprehensive review of the clinical characteristics and features of patients with e-cigarette or vaping-associated lung injury and guidelines for patient care and management to inform and navigate clinicians who may encounter these patients in their clinical practice.