Introduction: Electronic cigarettes are battery-powered devices that allow users to inhale vapor produced by heating a liquid (e-liquid) containing nicotine and other substances.The first such Dog- Treats and Chews devices were introduced in China in 2003, and subsequently approved for use in the European Union in 2006 and the United States in 2007.The number of e-cigarette users is constantly growing, with the largest increases observed in the 18-24 age group.Various modifications led to the emergence of a new disease entity in 2019 called EVALI (e-cigarette or vaping product use-associated lung injury).Aim of the study: To summarize the current state of knowledge about harmful substances contained in e-cigarettes and to systematize the latest methods of management in cases of suspected EVALI.
Methods and materials: A literature review was conducted using PubMed, Google Scholar, and ScienceDirect, including publications from the last 8 years, using the following keywords: "E-cigarette," "Electronic cigarette," "EVALI," "THC," "Vitamin E." Results: Electronic cigarettes contain a number of substances harmful to health.E-cigarettes have not been approved as nicotine replacement therapy.The presence of vitamin E breakdown products in the respiratory tract of EVALI patients has been confirmed.Vitamin Impact Vests E was primarily used to increase the volume of e-liquids containing THC.
Conclusions: Electronic cigarettes should not be used due to the numerous harmful substances they contain.When using e-cigarettes, both the devices and the e-liquids should be purchased from reputable sellers approved in the respective country.EVALI is a potentially fatal disease, and prompt diagnosis facilitates treatment.