Pneumothorax spontané et emphysème pulmonaire chez les consommateurs de cannabis

Underner, M.; Urban, T.; Perriot, J.; Peiffer, G.; Harika‐Germaneau, Ghina; Jaafari, Nématollah

doi:10.1016/j.pneumo.2018.06.003

Cited by 14 publications

(8 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pneumothorax cases, although pertaining to predisposed individuals (blebs and bullae on CT scan, compatible body type), indicate that vaping should be also considered as a risk factor for pneumothorax and emphysema. Cannabis vaping in particular, could have induce barotrauma, spontaneous pneumothorax and bullous emphysema similarly to cannabis smoking; the deep inhalation practiced by marihuana users has been proposed to possibly lead to more negative alveolar pressure and alveolar-capillary membrane injury [203]. Furthermore, the anticoagulant activity known to be exerted by cannabis could explain the occurrence of hemoptysis and diagnosis of DAH [204].…”

Section: Respiratory Injuriesmentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

View full text Add to dashboard Cite

Following the recent electronic cigarette (e-cigarette) illness outbreak, the current review aimed to collect all related clinical cases for study and analysis and provide a critical synopsis of the proposed injury mechanism. Adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines, e-cigarette-related clinical cases were identified via Google Scholar and PubMed databases. Additionally, references of published case reports and previous review papers were manually searched, revealing 159 publications presenting e-cigarette-related case reports and 19 reports by the Centers for Disease Control and Prevention. 238 individual cases were identified; 53% traumatic injuries due to e-cigarette explosion or self-combustion, 24% respiratory cases, and 12% poisonings. Additional cases pertained to oral, cardiovascular, immunologic, hematologic, allergic reactions, infant complications, and altered medication levels. Case reports were mainly published between 2016–2019 (78%). The oldest case, a lipoid pneumonia, was published in 2012. The current review showed that e-cigarette-related health effects extend beyond the acute lung injury syndrome, including traumatic, thermal injuries and acute intoxications. Physicians should be aware of the distinct clinical presentations and be trained to respond and treat effectively. Regulators and public health authorities should address the regulatory gap regarding electronic nicotine delivery systems (ENDS) and novel tobacco products.

show abstract

Section: Respiratory Injuriesmentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…In a study on a large sample of young Danish people, Olesen found that subjects who smoked both cannabis and tobacco had a significantly higher risk of having a spontaneous pneumothorax compared to both NS and TS [10]; however, the study was not designed to investigate the clinical features of pneumothorax. The few other studies on this topic focused mainly on emphysematous lesions and the histopathological features of cannabis smokers who developed pneumothorax [17]. To the best of our knowledge, our study is the first to investigate the clinical, radiological and perioperative aspects of pneumothorax in a population of cannabis smokers.…”

Section: Discussionmentioning

confidence: 89%

“…We observed that CaS experienced a higher incidence of respiratory symptoms than both NS and TS, in univariable and multivariable analysis. The relationship between cannabis smoking and respiratory symptoms was the first respiratory effect of cannabis that was investigated and demonstrated [4,5,12,16,17]. In a study on 7000 adults, Moore and colleagues showed that the use of marijuana was accompanied by respiratory symptoms and that subjects who smoked both marijuana and tobacco had a greater prevalence of symptoms than those who smoked only tobacco [5].…”

Section: Plos Onementioning

confidence: 99%

“…Since then other case reports, which have been collected in a review by Underner and coll. [17], and three case series have been published. Beshay and coll.…”

Section: Plos Onementioning

confidence: 99%

“…It is likely that the small sample sizes contributed to the lack of statistical significance, especially for variables in which absolute differences among groups were quite small. Anyway, the lack of significant difference between CaS and TS makes it difficult to discriminate whether the differences between CaS and NS in the length of stay and recurrence can be ascribed to the effect of cannabis per se or to an additive effect to tobacco, as previously suggested [12,17].…”

Section: Plos Onementioning

confidence: 99%

See 2 more Smart Citations

Secondary spontaneous pneumothorax and bullous lung disease in cannabis and tobacco smokers: A case-control study

et al. 2020

View full text Add to dashboard Cite

Background The notion that smoking cannabis may damage the respiratory tract has been introduced in recent years but there is still a paucity of studies on this subject. The aim of this study was to investigate the relationship between cannabis smoking, pneumothorax and bullous lung disease in a population of operated patients. Methods and findings We performed a retrospective study on patients operated on for spontaneous pneumothorax. Patients were divided into three groups according to their smoking habit: cannabis smokers, only-tobacco smokers and nonsmokers. Cannabis lifetime exposure was expressed in dose-years (1d/y = 1 gram of cannabis/week for one year). Clinical, radiological and perioperative variables were collected. The variables were analyzed to find associations with smoking habit. The impact of the amount of cannabis consumption was also investigated by ROC curves analysis. Of 112 patients, 39 smoked cannabis, 23 smoked only tobacco and 50 were nonsmokers. Median cannabis consumption was 28 dose/years, median tobacco consumption was 6 pack/ years. Cannabis smokers presented with more severe chronic respiratory symptoms and bullous lung disease and with a higher incidence of tension pneumothorax than both tobacco smokers and nonsmokers. Cannabis smokers also developed a larger pneumothorax, experienced prolonged postoperative stay and demonstrated a higher incidence of pneumothorax recurrence after the operation than nonsmokers did. The risk of occurrence of chronic respiratory symptoms and bullous lung disease in cannabis smokers was dose-related. Conclusions Cannabis smoking seems to increase the risk of suffering from respiratory complaints and can have detrimental effects on lung parenchyma, in a dose-dependent manner. Cannabis smoking also negatively affected the outcome of patients operated for spontaneous

show abstract

Acute Emergency Department Presentations Related to Cannabis

Randall

Roberts²,

Cienki

2020

Cannabis in Medicine

View full text Add to dashboard Cite

Pneumothorax spontané et emphysème pulmonaire chez les consommateurs de cannabis

Cited by 14 publications

References 49 publications

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Secondary spontaneous pneumothorax and bullous lung disease in cannabis and tobacco smokers: A case-control study

Acute Emergency Department Presentations Related to Cannabis

Contact Info

Product

Resources

About