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电子香烟对门诊牙科镇静和全身麻醉安全管理的影响。

Implications of Electronic Cigarettes on the Safe Administration of Sedation and General Anesthesia in the Outpatient Dental Setting.

机构信息

Resident, Department of Oral and Maxillofacial Surgery, Broward Health Medical Center, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida.

Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania.

出版信息

Anesth Prog. 2022 Jun 1;69(2):41-52. doi: 10.2344/anpr-69-02-16.

DOI:10.2344/anpr-69-02-16
PMID:35849811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9301538/
Abstract

Today the number of electronic cigarette users continues to rise as electronic cigarettes slowly, yet steadily overtake conventional cigarettes in popularity. This shift is often attributed to the misconception that electronic cigarettes are "safer" or "less dangerous" than conventional cigarettes. Recent studies have shown that electronic cigarettes are far from safe and that the inhaled agents and byproducts within vaping aerosols can have adverse effects on systemic and oral health like combustible tobacco products. The first electronic cigarettes were originally introduced as a tool for smoking cessation. However, newer iterations of electronic cigarette devices have been modified to allow the user to consume tetrahydrocannabinol (THC), the psychoactive component of cannabis, in addition to nicotine. As the popularity of these devices continues to rise, the number of patients seeking dental treatment who also consume electronic cigarettes will too. This article aims to shed light on the deleterious effects electronic cigarettes can have on systemic and oral health, as well as the special considerations for sedation and anesthesia providers treating patients who use electronic cigarettes.

摘要

如今,电子烟用户的数量持续上升,因为电子烟在受欢迎程度上慢慢但稳步超过了传统香烟。这种转变通常归因于一种误解,即电子烟比传统香烟“更安全”或“危害更小”。最近的研究表明,电子烟远非安全,吸入的电子烟气溶胶中的药剂和副产物会对全身和口腔健康产生不良影响,就像可燃烟草产品一样。最初引入第一代电子烟是作为戒烟工具。然而,电子烟设备的新版本已经被修改,以允许用户吸食四氢大麻酚(THC),即大麻的精神活性成分,除了尼古丁。随着这些设备的普及度不断上升,寻求牙科治疗的同时也吸食电子烟的患者人数也在增加。本文旨在阐明电子烟对全身和口腔健康的有害影响,以及为治疗使用电子烟的患者的镇静和麻醉提供者提供特殊考虑。