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Nontobacco Nicotine Dependence and Rates of Periprosthetic Joint Infection and Other Postoperative Complications in Shoulder Arthroplasty: A Retrospective Analysis.
J Am Acad Orthop Surg
January 2025
From the UT Medical Branch, Galveston, TX (Lawand), Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX (Ghali and Bey), David Geffen School of Medicine at UCLA (Dajani), Los Angeles, CA, the Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, PA (Boufadel and Abboud); and the Department of Orthopaedic Surgery, Southern California Permanente Medical Group, Panorama City, CA (Khan).
Introduction: Nontobacco nicotine products, including e-cigarettes and vaping, are marketed as healthier alternatives to tobacco. However, the literature on nontobacco nicotine dependence (NTND) is scarce. It is important to analyze the influence of these products as they pertain to medical and surgical postoperative complications.
View Article and Find Full Text PDFThe association of vaping and electronic cigarette use with postoperative hypoxemia and respiratory complications: a retrospective cohort analysis.
Can J Anaesth
November 2024
Department of General Anesthesiology, Anesthesiology & Pain Management Institute, Cleveland Clinic, Cleveland, OH, USA.
Purpose: Initially 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.
View Article and Find Full Text PDFPreoperative vaping screening in pediatric patients.
Pediatr Pulmonol
June 2024
Department of Pediatrics, Pediatric Pulmonary Division, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Marijuana Use, Vaping, and Preoperative Anesthetic and Surgical Considerations in Clinical Practice.
Anesthesiol Clin
March 2024
Department of Anesthesiology, Louisiana State University Health Sciences Center Shreveport, 1501 Kings Highway, Shreveport, LA 71103, USA.
In recent years, marijuana and vaping have acquired widespread popularity, with millions of people using them for a variety of reasons, including recreational purposes. However, these practices have often overlooked the implications on surgery and the preoperative anesthesia considerations. Marijuana can influence a patient's response to anesthesia, alter postoperative pain management, and increase the risk of complications, whereas vaping can have negative effects on the respiratory system and hinder the body's ability to recover after surgery.
View Article and Find Full Text PDFEfficacy of an expanded preoperative survey during perioperative care to identify illicit substance use in teenagers and adolescents.
Paediatr Anaesth
October 2023
Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA.
Background: As illicit substance use can present several perioperative concerns, effective means to identify such practices are necessary to ensure patient safety. Identification of illicit substance use in pediatric patients may be problematic as screening may rely on parental reporting.
Aims: The current study compares answers regarding use of illicit substances between a survey completed by the patient and the preoperative survey completed by parents or guardians.
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