Department of Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Department of Cardiothoracic Anesthesiology, Cleveland Clinic, Cleveland, OH, USA.
Perfusion. 2021 Apr;36(3):308-310. doi: 10.1177/0267659120925634. Epub 2020 Jul 10.
An upsurge of e-cigarette, or vaping, product use-associated lung injury has been reported in the United States. The potential role of extracorporeal life support in e-cigarette, or vaping, product use-associated lung injury merits consideration.
We present a case of vaping-induced severe acute respiratory distress syndrome that was salvaged with extracorporeal life support and had excellent recovery.
The mechanistic reasons for the sudden outbreak of e-cigarette, or vaping, product use-associated lung injury are under active investigation. A predominantly diffuse, bilateral pattern of lung injury has been reported, with some cases meeting the criteria for severe acute respiratory distress syndrome. To date, 68 deaths from e-cigarette, or vaping, product use-associated lung injury have been confirmed by the centers of disease control. However, resolution of lung injury has been reported in most cases, thereby justifying candidacy for extracorporeal life support, if required.
Extracorporeal life support can be successfully utilized as a bridge to recovery in vaping-induced severe acute respiratory distress syndrome.
在美国，电子烟或蒸气产品使用相关的肺损伤呈上升趋势。体外生命支持在电子烟或蒸气产品使用相关肺损伤中的潜在作用值得考虑。
我们报告了一例因蒸气而导致的严重急性呼吸窘迫综合征，通过体外生命支持得到了挽救，并取得了极好的恢复。
电子烟或蒸气产品使用相关肺损伤突然爆发的机制原因正在积极研究中。据报道，肺损伤主要呈弥漫性、双侧模式，部分病例符合严重急性呼吸窘迫综合征的标准。迄今为止，疾病控制中心已确认 68 例电子烟或蒸气产品使用相关肺损伤的死亡病例。然而，在大多数情况下，肺损伤已经得到缓解，因此，如果需要，体外生命支持是合理的选择。
体外生命支持可成功用于治疗蒸气诱导的严重急性呼吸窘迫综合征，并作为恢复的桥梁。
