What We DO and DON'T Know About Vaping

Summary

El 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

00:00

🚭 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.

05:00

🤔 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.

10:02

🏥 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.

Keywords

💡Vaping

Vaping es el acto de inhalar y exhalar vapor producido por un dispositivo electrónico conocido como e-cigarette o vape. En el video, se discute la controversia y los riesgos asociados al vaping, comparándolo con el consumo de cigarrillos tradicionales y abordando los cambios en la percepción y conocimientos sobre este tema en los últimos dos años.

💡E-cigarette or vaping product use associated lung injury (EVALI)

EVALI es una afección pulmonar asociada al uso de productos de vaping o e-cigarettes. Se define por síntomas como tos, dificultad para respirar, dolor torácico, fiebre, dolor de cabeza, mareos y, en algunos casos, vómitos y diarrea. En el video, se menciona que muchos de estos síntomas son similares a los de una infección pulmonar como la neumonía, pero EVALI no es causada por un patógeno sino que está inducida por el vaping.

💡Vitamin E acetate

El ácido acetil de vitamina E es un aditivo que se utiliza para diluir los cartuchos de los productos de vaping, particularmente aquellos que contienen THC. En el video, se destaca una correlación fuerte entre el ácido acetil de vitamina E y los casos de EVALI, lo que llevó a las organizaciones de salud a recomendar en contra de la utilización de productos de vaping que contienen este ingrediente.

💡THC

El THC, o tetrahidrocannabinol, es el componente psicoactivo de la planta de cannabis que produce efectos alucinógenos. En el contexto del video, se relaciona con el riesgo de EVALI debido a su presencia en muchos de los muestreos de lavado broncoalveolar de pacientes con esta afección. Además, su uso recreativo no está legalizado en la mayoría de los estados de los Estados Unidos, lo que puede llevar a la obtención de productos de vaping de fuentes poco confiables.

💡Nicotine

La nicotina es una alcaloide encontrada en el tabaco que actúa como un estimulante y que está presente en muchos productos de vaping. El video menciona que los productos de vaping también contienen nicotina, lo que plantea preocupaciones sobre la posibilidad de desarrollar dependencia a largo plazo o adicción, así como también la creación de un puente hacia el consumo de otros productos tóxicos, como los cigarrillos tradicionales.

💡Smoking cessation

La cesación del tabaquismo es el proceso de dejar de fumar. En el video, se cuestiona si el vaping puede ser una opción viable para ayudar a las personas a dejar el tabaquismo tradicional. Aunque algunos estudios sugieren que podría ser posible, la comunidad médica aún tiene dudas debido a los efectos a largo plazo desconocidos del vaping y la existencia de otras herramientas efectivas para dejar de fumar que no implican la inhalación de sustancias.

💡Dual users

Los usuarios duales son aquellos que intentan usar el vaping para dejar de fumar cigarrillos tradicionales, pero después de不成功 en dejar el tabaquismo, acaban utilizando tanto cigarrillos como productos de vaping. El video señala esta práctica como un problema, ya que el objetivo inicial del vaping era reemplazar completamente el consumo de cigarrillos.

💡Health optimization

La optimización de la salud se refiere a la mejora de los estilos de vida y las elecciones personales para alcanzar un estado de bienestar máximo. En el video, se menciona en el contexto de las mejoras que todos podríamos hacer en nuestras decisiones de estilo de vida, incluyendo el consumo de sustancias, para mejorar nuestra salud general.

💡Reputable companies

Las empresas de reputación son aquellas que tienen una buena reputación y están bien establecidas en el mercado. En el video, se recomienda utilizar productos de vaping de empresas de reputación para minimizar la variabilidad en los ingredientes, los contaminantes o los químicos dañinos que podrían estar presentes en productos de vaping de fuentes menos confiables.

💡Long-term effects

Los efectos a largo plazo se refieren a las consecuencias o impactos que se manifiestan después de un período prolongado de tiempo. En el video, se destaca la falta de información sobre los efectos a largo plazo del vaping, lo que aumenta la incertidumbre y el riesgo potencial asociado con su uso.

💡Russian roulette

La ruleta rusa es un juego de azar peligroso que implica la posibilidad de un resultado fatal. En el video, se utiliza metafóricamente para describir la incertidumbre de los riesgos asociados con el vaping, donde los efectos y la gravedad de los mismos son desconocidos y pueden ser similares a diferentes tamaños de bala en un juego de ruleta rusa.

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

can help me with a little bit of a

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