"This is still an ongoing outbreak, and not something we've seen with vaping before," said Denitza Blagev, MD, a pulmonary and critical care physician at Intermountain Healthcare, who is the lead author of a new study that outlines best practices for treatment for patients with e-cigarette or vaping-associated lung injury (E-VALI).
The study is published in the November 8, 2019, issue of The Lancet.
Lung - Injury - Diagnosis - Treatment - Guidelines
The lung injury diagnosis and treatment guidelines developed by Intermountain Healthcare clinicians are based on the cumulative clinical experience of treating more than 60 patients throughout the health system's 24 hospitals and 215 clinics.
The Intermountain guidelines recommend shorter courses of moderate-dose steroids for patients who are either treated as outpatients, or admitted to hospitals, and higher doses of intravenous steroids that are tapered more slowly for patients who are critically ill on admission. Clinicians also recommend close outpatient follow-up, as complications after initial recovery are recognized.
Guideline - Clinicians - Injury - Everyone - Minds
"Through sharing the guideline, we're reaching clinicians and keeping e-cigarette or vaping-associated lung injury on everyone's minds, especially as we enter flu season and diagnosing vaping associated lung injury becomes more challenging," said Dr. Blagev.
"We now have a standardized approach to treat these patients, and we're starting to learn about what the recovery and complications are," she added. "Time will show us the long-term outcomes and the cause of this new disease, but in the meantime, the surest way to prevent lung injuries associated with e-cigarettes, or vaping, is not to vape."
Study - Intermountain - Healthcare - Researchers - Patients
In the study, Intermountain Healthcare researchers identified 60 E-VALI patients at 13 different Intermountain hospitals or clinics in Utah from June 27, 2019, through October 4, 2019. The diagnosis was defined by a history of vaping or e-cigarette use within 90 days prior to symptoms, abnormalities shown in chest imaging, and no other cause for these findings (such as pneumonia).
While the majority...
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