From the Department of Anesthesiology.
Department of Radiology, Children's Wisconsin/Medical College of Wisconsin, Milwaukee, Wisconsin.
A A Pract. 2020 Jun;14(8):e01242. doi: 10.1213/XAA.0000000000001242.
E-cigarette, or vaping, product use has been declared an epidemic, and a new disease has emerged from their use. We describe 4 patients with significant acute lung injury related to e-cigarette use who underwent bronchoscopy and bronchoalveolar lavage. All cases posed anesthetic challenges, including increased airway reactivity, hypoxia, increasing oxygen requirements, and, in 2 severe cases, the need for continued postprocedural mechanical ventilatory support. It is imperative that all members of the treating team are aware of the disproportionate risk of respiratory complications to anticipate the possible need for increased postprocedural respiratory support.
电子烟或蒸气烟产品的使用已被宣布为一种流行病，并且由此产生了一种新的疾病。我们描述了 4 例与电子烟使用相关的严重急性肺损伤患者，他们均接受了支气管镜检查和支气管肺泡灌洗。所有病例都带来了麻醉挑战，包括气道反应性增加、缺氧、增加氧气需求，并且在 2 例严重病例中，需要持续进行术后机械通气支持。治疗团队的所有成员都必须意识到呼吸并发症的风险不成比例，以便预测可能需要增加术后呼吸支持。
