Newly Published
Correspondence  |   July 2020
Sparking the Discussion about Vaping and Anesthesia: Comment
Author Notes
  • University of Toronto, Toronto, Canada. johnpoyston@gmail.com
  • Accepted for publication June 23, 2020.
    Accepted for publication June 23, 2020.×
Article Information
Correspondence
Correspondence   |   July 2020
Sparking the Discussion about Vaping and Anesthesia: Comment
Anesthesiology Newly Published on July 14, 2020. doi:https://doi.org/10.1097/ALN.0000000000003476
Anesthesiology Newly Published on July 14, 2020. doi:https://doi.org/10.1097/ALN.0000000000003476
I agree with Drs. Feinstein and Katz that little is known about perioperative vaping.1  The authors refer to an outbreak of 53 cases of e-cigarette and vaping–related lung injury, in which 84% of the cases admitted to the use of tetrahydrocannabinol products. The remaining 16% may have concealed the use of an illegal product, or not known what they were using. In those cases of e-cigarette and vaping–related lung injury where bronchoalveolar lavage was performed, 100% of the specimens were positive for vitamin E acetate, a dangerous contaminant in tetrahydrocannabinol oil.2  This outbreak is troubling but it is unrelated to the use of legal nicotine-based vaping products.