welcome to another MedCram lecture we're going to talk about a Valley or
e-cigarette or vaping products use associated lung injury and this is an
update based on the CDC's recent study that was released here at the early part
of November so up to this point they've been looking at surveys they've been
talking to people what we've actually got here are 29 bronchoalveolar lavage
fluid from patients so this is not survey this is actual isolating
chemicals that were in bronchoalveolar fluid so how did they get that they did
a bronchoscopy and then went down into the lungs and they were actually able to
wash and suction out the fluid that was in the alveolus take it back and then
they were able to collect those and then analyze them and they analyzed it for a
number of different compounds so what did they find
well it's interesting what they found in 100% of them and this is going to be the
smoking gun perhaps in 100% of the samples in these patients who were sick
in 29 of the 2000 so far at this point they found vitamin E acetate now
interestingly in 82 percent of the samples that they got they found THC and
in 62 percent of the samples they found nicotine now there was a lot of
speculation leading up to this that it was the vitamin E that might have been
causing all of these things because people have been vaping for years
without this Yves alley issue coming up and so there was thought that a lot of
the black markets products which had the vitamin E in it were the actual cause
for the problem but we didn't know for sure and this is why the CDC was tasked
into investigating this and holding bath on making that judgment until they were
absolutely sure now in this case all we have is a hundred percent Association as
Association doesn't always mean causation but it certainly is the first
step now vitamin the acetate is fine for oral ingestion into the stomach but
nowhere was it safe or said to be safe for inhaling it vitamin E is a very
sticky oil and it can accumulate and again 100% of these patients that they
got the 29 samples on were positive for vitamin E acetate now what was it not
positive for so interesting things that they did not find in there were plant
oils petroleum distillates like mineral oil MCT oil or terpenes so where do you
see this vitamin e acetate containing VAP or East cigarette products found
they found them from friends from family in person or online dealers so that's
the ones that you've got to be careful about now just realize that the time of
this update is the beginning of November specifically on November 5th 2019 the
epidemic is up to 2051 cases of a valley and up to 39 people in the United States
have died as a result of this problem so what does the CDC recommend at this
point well they recommend not buying any kind of eight products from the street
they recommend not buying any vape products that have THC in it and they
recommend not buying any modified vape products and of course if you've got a
child or you know of a child that's less than 18 they shouldn't be vaping period
and if you really want to be absolutely sure the best way to do it is not to
vape or smoke at all because there is no vape or smoke product that is a hundred
percent safe the FDA recommends using an fda-approved method of smoking cessation
and if you're not smoking don't go back to smoking either and if you are gonna
vape remember this it's pretty obvious that you could have respiratory
complaints be particularly concerned if you have signs of nausea vomiting
diarrhea abdominal pain or fever because it is these
complaints along with respiratory symptoms that makes a valley of
particular concern and if you liked this video and you want to see more
educational videos I encourage you to go to med cram comm where we have videos
that teach you about chest x-rays ABG's acid-base pneumonia asthma COPD
pulmonary function tests and a whole host of other topics thanks for joining
us