What We DO and DON'T Know About Vaping
Summary
TLDREl video aborda el controvertido tema del vaporeo, discutiendo los riesgos asociados, como el daño hepático y la comparación con el tabagismo tradicional. Aunque el consenso médico sugiere que el vaporeo es menos dañino que fumar, se destaca la falta de certezas sobre sus efectos a largo plazo. Se recomienda evitar el vaporeo debido a los riesgos potenciales, especialmente en jóvenes, y se sugiere que más investigación es necesaria para comprender completamente sus consecuencias.
Takeaways
- 🚭 **Vaping es un tema controvertido y potencialmente peligroso**: Aunque no mejora la salud, especialmente para los pulmones, la comunidad médica generalmente no recomienda el uso de productos para fumar el vapor.
- ⚠️ **Riesgos conocidos a corto plazo**: Uno de los riesgos más conocidos es una afección pulmonar llamada DAE (enfermedad pulmonar asociada al uso de productos para fumar el vapor), que puede ser severa y potencialmente mortal.
- 🤔 **Mecanismo no del todo claro**: A pesar de que algunos estudios han encontrado una correlación entre el THC y el ácido de vitamina E en los casos de DAE, el mecanismo exacto de cómo el vaping induce esta condición aún no está completamente claro.
- 📉 **Disminución de visitas de emergencia relacionadas con el vaping**: Las visitas a la sala de emergencias relacionadas con el vaping han disminuido, posiblemente debido a la eliminación del ácido de vitamina E en muchos productos.
- 🔍 **Correlación vs. Causalidad**: La investigación aún no ha establecido una causa definitiva entre el THC, el ácido de vitamina E y la DAE, sino más bien una fuerte correlación.
- 🌱 **Origen de los productos para fumar el vapor**: Muchas personas afectadas por la DAE reportaron obtener sus productos de fuentes ilícitas o informales, lo que puede contribuir a la ingesta de contaminantes o ingredientes dañinos.
- 🔄 **Vaping y la población joven**: Existe una preocupación por el impacto del vaping en la juventud, incluyendo el riesgo de adicción a la nicotina y la posibilidad de actuar como puente hacia otros hábitos tóxicos.
- 🚬 **Vaping vs. Fumar cigarrillos**: Aunque el vaping se considera menos dañino que fumar cigarrillos, los efectos a largo plazo del vaping aún son inseguros.
- 🔄 **Uso del vaping para dejar de fumar**: Algunos estudios sugieren que el vaping podría ayudar a dejar el hábito de fumar, pero la comunidad médica aún no lo recomienda como una opción viable debido a los efectos a largo plazo desconocidos.
- 🛒 **Elegir productos de fuentes reputadas**: Para minimizar los riesgos, se recomienda utilizar productos para fumar el vapor de empresas de confianza y evitar ingredientes como el ácido de vitamina E y el THC.
- ❌ **Recomendación general**: Dado el perfil de riesgos y las incógnitas a largo plazo, se sugiere evitar el vaping por completo.
Q & A
¿Qué es el 'vaping' y por qué es un tema controvertido?
-El 'vaping' se refiere al uso de dispositivos electrónicos para inhalar vapor de líquidos que contienen nicotine, entre otros componentes. Es controvertido debido a los debates sobre sus efectos en la salud y su comparación con el cigarrillo tradicional.
¿Qué es la lesión pulmonar asociada al uso de productos de vaping (EVALI) y qué síntomas presenta?
-La EVALI es una condición pulmonar que ha sido observada en usuarios de vaping. Los síntomas incluyen tos, dificultad para respirar, dolor torácico, fiebre, dolor de cabeza, mareos y, a veces, vómitos y diarrea.
¿Cuál fue el hallazgo significativo en los estudios de lavado broncoalveolar de pacientes con EVALI?
-En un estudio, el 94% de los pacientes con EVALI tuvieron THC y ácido de vitamina E en sus muestras de lavado broncoalveolar, lo que sugiere una fuerte correlación entre estos componentes y la EVALI.
¿Por qué las organizaciones de salud recomiendan evitar el uso de productos de vaping que contienen ácido de vitamina E y THC?
-La recomendación proviene de la fuerte correlación encontrada entre el ácido de vitamina E, el THC y los casos de EVALI, aunque no se ha establecido una causalidad definitiva.
¿Qué es la principal preocupación a largo plazo con respecto al vaping en la población más joven?
-La principal preocupación es el desarrollo de adicción a la nicotine y la posibilidad de que el vaping actúe como puerta de entrada para probar otros productos tóxicos, incluyendo cigarrillos tradicionales.
¿Cómo se compara el vaping con el cigarrillo tradicional en términos de riesgos para la salud?
-El consenso general es que el vaping es menos dañino que el cigarrillo tradicional, aunque aún hay incertidumbre sobre los efectos a largo plazo del vaping debido a la menor cantidad de datos disponibles.
¿Se puede utilizar el vaping como una opción viable para dejar de fumar cigarrillos tradicionales?
-Algunos estudios sugieren que podría ser posible, pero la comunidad médica aún no lo recomienda ampliamente debido a la falta de conocimiento sobre los efectos a largo plazo del vaping.
Si alguien decide continuar con el vaping, ¿qué precauciones debería tomar?
-Debería usar productos de compañías reputadas para minimizar la variabilidad en los ingredientes y posibles contaminantes, y evitar el uso de ingredientes como el ácido de vitamina E y el THC.
¿Por qué la mayoría de los estados en los Estados Unidos no han legalizado el uso recreativo de THC?
-La mayoría de los estados no lo han legalizado, lo que dificulta obtener productos de THC de fuentes reputadas y puede aumentar el riesgo de exposición a contaminantes o productos dañinos.
¿Cómo están las visitas de emergencia relacionadas con el vaping cambiando y por qué?
-Las visitas de emergencia relacionadas con el vaping están disminuyendo, posiblemente debido a la eliminación del ácido de vitamina E en muchos productos, aunque se necesita más investigación para confirmar esto.
¿Qué recomendación hace el CDC y otras organizaciones de salud con respecto al vaping?
-El CDC y otras organizaciones de salud recomiendan evitar el vaping, especialmente con ingredientes como el ácido de vitamina E y el THC, debido a los riesgos potenciales.
¿Por qué el hablante cree que el vaping debería ser evitado?
-El hablante cree que el vaping debería ser evitado debido a los riesgos potenciales y las incertidumbres asociadas con sus efectos a largo plazo en la salud.
Outlines
🚭 Vaping: Riesgos y Controversias
Este párrafo aborda el tema controvertido y a veces confuso del vaping. Se mencionan debates y preguntas anteriores y se profundiza en los riesgos del vaping, incluyendo las condiciones pulmonares asociadas y los cambios en la comprensión de los riesgos en los últimos dos años. Se destaca que, aunque el vaping no mejora la salud, parece menos dañino que fumar cigarrillos tradicionales. Se explora la relación entre el vaping y una condición pulmonar grave llamada DAE (Daño al Alveolo por el Uso de Productos para Vaporizar), y se discute la correlación entre el THC y el ácido de vitamina E en los casos de DAE. Además, se aborda la postura de las organizaciones de salud respecto a evitar el uso de productos para vaporizar que contienen ácido de vitamina E y THC.
🤔 Origenes y Consecuencias del Vaping
Este párrafo examina un estudio con 573 individuos afectados por DAE, la mayoría de los cuales obtuvieron productos para vaporizar de fuentes no reguladas o caseras. Se destaca la importancia de la fuente de los productos para vaporizar, ya que puede haber una gran variabilidad en los ingredientes y contaminantes. Se discuten las preocupaciones a largo plazo del vaping, especialmente en la juventud, y se menciona el aumento en el uso de e-cigarettes entre los estudiantes de secundaria. Se aborda la posibilidad del vaping como una opción viable para dejar de fumar, pero también se señalan las incertidumbres sobre los efectos a largo plazo del vaping y se cuestiona si debería ser la primera opción para dejar de fumar. Se sugiere la preferencia de herramientas efectivas y sin inhalación de sustancias para la cesación del tabaquismo. Además, se discute la situación de los usuarios que desean continuar con el vaping después de dejar el tabaco o que lo utilizan sin haber fumado previamente.
🏥 Consideraciones Finales sobre el Vaping
Este párrafo finaliza la discusión sobre el vaping destacando la importancia de evitar el consumo de sustancias desconocidas y potencialmente dañinas para la salud. Se menciona la difícil tarea de hacer una evaluación de riesgos personales efectiva debido a los muchos factores desconocidos y los posibles efectos a largo plazo del vaping. Se compara el riesgo del vaping con el del tabaquismo, sugiriendo que, aunque es probablemente menos dañino, el tamaño exacto del riesgo es incierto. El hablante expresa su creencia de que el vaping debe ser evitado por completo debido a sus riesgos potenciales. Finalmente, se hace un llamado a considerar la función óptima de los pulmones y se ofrece información sobre un patrocinador del video, Brilliant.org, una plataforma de aprendizaje en línea para temas de STEM.
Mindmap
Keywords
💡Vaping
💡E-cigarette or vaping product use associated lung injury (EVALI)
💡Vitamin E acetate
💡THC
💡Nicotine
💡Smoking cessation
💡Dual users
💡Health optimization
💡Reputable companies
💡Long-term effects
💡Russian roulette
Highlights
Vaping is a controversial and confusing topic with ongoing debates about its health effects.
The medical community generally agrees that vaping carries potential risks and is not beneficial for health.
One of the known short-term risks of vaping is a lung condition called e-cigarette or vaping product use-associated lung injury (EVALI).
EVALI can be severe and life-threatening, with symptoms similar to a lung infection but induced by vaping.
Vitamin E acetate and THC were found in many patients with EVALI, leading health organizations to advise against vaping products containing these substances.
The exact mechanism of how vaping induces EVALI is not entirely clear, and more research is needed.
Many vaping products come from illicit or informal sources, which could contribute to health risks due to potential contaminants.
Long-term concerns about vaping include its impact on younger populations and the potential for addiction or gateway to other substances.
Vaping is considered less harmful than traditional cigarette smoking, but the long-term effects are still unknown.
There is hesitation within the medical community to recommend vaping as a smoking cessation tool due to unknown long-term effects.
Critics argue that other effective smoking cessation methods should be considered before vaping.
Using vaping products from reputable companies can help minimize the risk of harmful ingredients or contaminants.
Vitamin E acetate is used to dilute THC-containing cartridges, often leading to a correlation between the two in health issues.
In areas where THC is legalized, there are companies manufacturing vaping products without vitamin E acetate.
Emergency department visits related to vaping have been on the decline, possibly due to the removal of vitamin E acetate from many products.
The future and long-term effects of vaping are uncertain, making it difficult to assess personal risk effectively.
The speaker believes that vaping should be avoided due to potential risks, given the uncertainty of long-term effects.
Human lungs are not designed for vaping, smoking, or any activity that interferes with their optimal functioning.
Transcripts
vaping can be quite the controversial
topic and even confusing at times now we
actually did a video on vaping about two
years ago where a lot of these debates
and questions came up so in today's
video we're going to reiterate some of
these questions in these debated Topics
by discussing the risks of vaping
certain lung conditions associated with
vaping as well as talk about if anything
has changed over the past two years
about what we do and don't know about
vaping and of course we'll have to have
a little talk about how vaping compares
to traditional cigarette smoking it's
going to be an important one so let's do
this
foreign
so let's start by revisiting the first
big question is vaping bad for you well
I think we can definitely say that
vaping is not going to improve your
health especially the health of these
little Beauties the lungs but the
overall consensus from the medical
community is that vaping is not worth
the potential risks and we're going to
go over these potential risks in just a
second but even though the overall
consensus is that vaping should be
avoided the point of this video is not
to say that people that do vape are bad
because frankly after working with
patients for years now and I can even
throw myself into this we all could make
improvements in our lifestyle choices
and improve what we put into our bodies
in order to optimize our health we're
going to talk a little bit about health
optimization in this video but let's get
into these actual risks when it comes to
vaping so that we can all make informed
decisions and create our own personal
risk assessment one of the main known
short-term risks of vaping is still a
lung condition called e-cigarette or
vaping product use Associated lung
injury or what we're just going to call
evolving now in certain situations this
could be quite severe and even
life-threatening and this really started
to be noticed around 2019 when patients
were coming in with cough shortness of
breath chest pain fever headache
dizziness and sometimes even vomiting
and diarrhea now many of these symptoms
were similar to symptoms that somebody
might experience with a lung infection
like pneumonia and in certain situations
many of these patients were initially
thought to have pneumonia but unlike
pneumonia evoli is not caused by a
pathogen but rather induced by vaping
however the exact mechanism of how and
why vaping induces evoli is still not
entirely clear so there were studies
done where many patients underwent a
procedure called a Broncho alveolar
lavage now this is typically done with a
bronchoscopy or a bronchoscope which is
a tube that has a camera on it and they
would take that tube down the trachea
and into the bronchi and then go deeper
down into the Airways so that they could
visualize the Airways and then they
would inject a saline solution and this
is the lavage part where they would
essentially wash the Airways and gather
a sample and what they found in many of
these samples with patients with the
volley was quite interesting 94 of
patients with evolate in one particular
study were found to have THC in vitamin
E acetate as part of their bronchial
alveolar lavage samples now they did
find other substances at lower and
varying degrees things like nicotine CBD
oils and other plant oils and even
certain heavy metals like nickel tin and
lead but because of the strong
correlation of vitamin E acetate in THC
that causes CDC and other health
organizations to recommend against
vaping in particular with products or
cartridges that contain vitamin E
acetate and THC now this was The Stance
of these organizations two years ago
when we did our original video and today
these organizations still haven't really
changed their stance so now we need to
have a little bit of a checkpoint
because as we learned from our previous
video in the comments or what we'll
refer to as constructive feedback people
can get quite protective with their THC
consumption they don't seem to care as
much about the vitamin E part but the
THC can be very protective and in all
seriousness people did bring up some
valid questions and points regarding
this connection of THC and a volley in
this type of lung injury so I think it's
fair for us to address it in a couple of
different ways first none of the studies
that we've mentioned in this video or
the previous video have stated that THC
or vitamin E acetate are the definitive
causes of evoli but rather it was due to
that strong correlation of 94 plus a lot
of the long-term possible unknown
effects of vaping that caused many of
these organizations to recommend
avoidance with vaping with some of these
particular ingredients that we've
mentioned and speaking of ingredients
many will state that it is the other
ingredients rather than the THC or the
vitamin E that are to blame for the
negative outcomes of vaping and evoli
and they'll often cite like lower
quality vaping sources or vaping
cartridges from unknown known sources
that could potentially contain
contaminants or ingredients that are
contributing to these problems and these
concerns are actually worth exploring in
one particular study of 573 individuals
affected with the volley the majority of
these people reported getting vaping
products from illicit off the street
sources or from informal sources like
friends and family and others even
reported that they created their own
homemade liquid that they added to
previously used cartridges did some of
the patients in this study with a volley
report getting their vaping products
from more reputable I guess more vetted
sources yes but you can see how this
totally muddies the water with all these
particular vaping products from
different sources with potential
different ingredients or contaminants
that could contribute to possible
negative outcomes of vaping so that
gives us a bit of information to digest
with one of the main short-term risks of
vaping that risk of developing a volume
and we're going to come back to this in
THC in the other ingredients but for us
to kind of put the whole picture
together with vaping we have to look a
little bit further down the road with
some of the long-term potential risks
one of the main long-term concerns with
vaping is how it's affecting the younger
population those that are in middle
school and high school and at the end of
2022 the FDA and the CDC released data
that estimated 1 in 10 or 2.5 million
people in those age groups were
utilizing e-cigarettes or some sort of
vaping products yes there is concern
that they could potentially develop
evoli in the short term but many of The
Vaping products also contain things like
nicotine so there's concerns for
developing long-term dependence or
addiction and also potentially creating
a gateway to trying other things or in
other words could this increase their
risk of maybe wanting to try something
like traditional cigarettes and speaking
of traditional cigarettes let's talk
about two things one how do they compare
as far as which one's better which one's
worse and two is vaping a viable option
in order to help one quit smoking the
overall consensus is that vaping is less
harmful than traditional cigarette
smoking and even though we spent some
time talking about how The Vaping
products and cartridges can have a bit
of variability in their ingredients it's
still thought that they contain less
harmful chemicals and less carcinogens
than that which can be found with
traditional cigarettes so does this mean
that vaping could be used as a viable
option to help someone quit smoking
traditional cigarettes well there are
some studies that imply that it possibly
could be and there have been people that
have quit smoking by utilizing vaping
but there are some concerns with this
one of the main hesitations from the
medical community of actually labeling
vaping as a potential viable option for
smoking cessation is that we still don't
know the long-term effects of vaping yes
we do believe that it's less harmful
than traditional cigarette smoking but
how much less harmful we still don't
know if so much data on traditional
cigarette smoking and just not nearly as
much with vaping that frankly we just
need more time to see what these
long-term effects are going to be now to
build upon that many of the critics of
saying vaping should be used as a viable
option for smoking cessation would say
hey if there's other effective tools out
there to help someone quit smoking that
don't involve inhaling a substance into
your lungs shouldn't those options be
considered first and another concern is
that there are people who will attempt
to use vaping to quit smoking
traditional cigarettes and it doesn't
end up working and then they end up
using both and becoming dual users now
you could make the argument that that
vaping or some of that vaping is taking
the place of some of the more harmful
cigarette smoking but the whole point of
using The Vaping in the first place in
this scenario was to quit smoking
cigarettes entirely so if someone is
going to use vaping to help them quit
smoking then again the ideal situation
would be to go from smoking to vaping to
using neither one now I have talked to
people and even had some patients that
have said hey I'm going to use vaping to
quit smoking but I'm going to keep
vaping afterwards so that brings us to
this next point of if people want to
continue to vape or still choose to vape
after smoking or maybe they never smoked
in the first place and just want to
continue vaping indefinitely what are
some things that you should consider
first using vaping products for
reputable companies to help minimize the
variability in ingredients possible
contaminants or harmful chemicals this
also brings us back to vitamin E acetate
and THC and I should probably mention
this because some people might be
wondering what is the deal with the
vitamin E acetate well in this case
vitamin E is used as an additive to help
dilute cartridges that most often
contain THC so those two ingredients are
most commonly paired together which can
also make it a little bit tricky when
we're trying to tease out what is kind
of that correlation versus causation
with a volley could it be possible that
if you could get rid of one versus the
other and you would reduce your risk of
having lung injury that we talked about
earlier but another thing to consider
with THC is that from the perspective of
the United States the majority of States
actually have not legalized recreational
use of THC so that could make it very
difficult for someone to use a reputable
company in say a state that has not
legalized the substance and they might
be more likely to get their THC
containing products or their vaping
products with THC from a less than
reputable off the street source which
could also increase the risk of possible
contaminants or harmful chemicals but
something important to note in areas
where THC has been legalized there are
companies that are currently
manufacturing THC containing vaping
products without the addition of vitamin
E acetate now although the CDC has not
updated their current recommendations
emergency department visits related to
vaping have actually been on the decline
the reason for the decline is likely
multifactorial but the CDC does concede
that remove vitamin E acetate for many
products may be contributing to this
decline but before any major changes are
made more research does need to be done
so again because of these variables and
correlations if someone is going to vape
it is still the recommendation of the
CDC and other health organizations that
vaping with these ingredients should be
avoided now I'm certain that there will
still be many of the strong opinion that
THC are vaping with THC is not
contributing to a volley or any of these
possible long-term negative effects of
vaping and that's okay we might find in
the future with more research that
vaping with THC isn't a strong
contributor to these problems or
potential long-term negative effects but
we also might not find that out but the
future and the unknown is kind of the
last main point we need to touch on it's
very difficult with all of these
unknowns in the future and long-term
possible effects of vaping to make an
effective personal risk assessment with
vaping we're kind of playing a game of
Russian roulette with a different set of
unknown rules is it a pellet or a bb or
a 22 gauge size bullet we're pretty
certain that it's a smaller bullet than
the smoking bullet but the exact size
how many bullets and if and when it's
going to go off is unknown so because of
these variables and unknowns this
probably isn't going to be a shocker to
you but I believe that vaping should be
avoided altogether as it's not worth the
potential risks now we spend a lot of
time during this video talking about
what we don't know so let me leave you
with something that I do know and that
is these amazing structures are organs
these human lungs that you're seeing
here were not designed for Vaping
smoking or any of that so anything that
interferes with the optimal functioning
of these organs or interferes with
optimizing our long-term health I think
we should strongly consider taking that
off the table so hopefully all this
information gave you some new insights
on vaping if you have some thoughts or
questions please post them in the
comments below if you have different
opinions please don't hesitate to post
those in the comments below because I
think we can all learn from
communicating and talking with people
who think differently and have different
opinions on different subjects but if
you don't mind me shifting gears a
little bit here I do want to see if you
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