Evidence map›Paper›PMID 39112772›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2024

The association of vaping and electronic cigarette use with postoperative hypoxemia and respiratory complications: a retrospective cohort analysis.

Remie Saab, Eva Rivas, Esra Kutlu Yalcin, Lloyd Chen, Mateo Montalvo, Federico Almonacid-Cardenas, Karan Shah, Kurt Ruetzler, Alparslan Turan

Abstract read
In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Remie SaabDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Eva RivasDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Esra Kutlu YalcinDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Lloyd ChenDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Mateo MontalvoDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Federico Almonacid-CardenasDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Karan ShahDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Kurt RuetzlerDepartment of Outcomes Research, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Alparslan TuranDepartment of General Anesthesiology, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA. turana@ccf.org.

Funding

Non-US Government Research Support
6 · The paper itself

Abstract

purposeInitially introduced as a safer alternative to smoking, electronic cigarettes (e-cigarettes) and vaping have since been associated with lung injury. Nevertheless, there is limited perioperative data on their potential contribution to the harmful effects of mechanical ventilation on the lungs. We hypothesized that, in adults undergoing noncardiothoracic surgeries, preoperative vaping/e-cigarette use is associated with hypoxemia during the first postoperative hour, and with an increased incidence of intraoperative and postoperative pulmonary complications.

methodsWe conducted a retrospective cohort study in which we included patients reporting as vapers/e-cigarette users within one year before surgery as the exposure group, and nonvapers as the control group. The primary outcome was the time-weighted average (TWA) SpO

resultsA total of 110,940 patients met the inclusion criteria, and 1,941 of these were vapers/e-cigarette users. The average treatment effect on the treated for TWA SpO

conclusionVaping/e-cigarette use was neither associated with clinically significant hypoxemia during the first hour in the postanesthesia care unit nor with an increase in pulmonary complications. Nevertheless, our findings cannot definitively exclude the deleterious effects of vaping and e-cigarette use on the lungs, and anesthesiologists should consider potential perioperative complications.

Indexed as

Electronic Nicotine Delivery SystemsHypoxiaPostoperative ComplicationsVapingAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedRetrospective Studieselectronic cigaretteshypoxemiapostoperative pulmonary complicationsvaping

Identifiers

PMID39112772
PMCPMC11602779

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.