Vaping and E-Cigarette Use in Children and Adolescents

Implications on Perioperative Care From the American Society of Anesthesiologists Committee on Pediatric Anesthesia, Society for Pediatric Anesthesia, and American Academy of Pediatrics Section on Anesthesiology and Pain Medicine

Deborah A. Rusy, MD, MBA, FASA; Anita Honkanen, MD; Mary F. Landrigan-Ossar, MD, PhD, FASA, FAAP; Debnath Chatterjee, MD, FAAP, FASA; Lawrence I. Schwartz, MD; Kirk Lalwani, MBBS, FRCA, MCR; Jennifer R. Dollar, MD; Randall Clark, MD, FASA; Christina D. Diaz, MD, FASA, FAAP; Nina Deutsch, MD; David O. Warner, MD; Sulpicio G. Soriano, MD


Anesth Analg. 2021;133(3):562-568. 

In This Article

COVID-19 Pandemic and Vaping

Coronavirus disease 2019 (COVID-19) has not only wreaked havoc on global health but has also had an impact on the vaping community. A case series of adolescents who had symptoms consistent with COVID-19 but negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA test and respiratory viral panels revealed significant e-cigarette use by these individuals.[40] A recent survey of individuals aged 13–24 years who vaped alone, or with smoking, were at 5 or 7 times increased risk, respectively, of a COVID-19 diagnosis compared with naive cohorts.[41] This alarming finding underscores the need for vaping and smoking education, cessation, and adjustments in risk stratification in these doubly vulnerable individuals.[42] During the COVID-19 pandemic, the reported use of e-cigarettes by youth changed due to diminished access to vape shops.[43]