Understanding Vaping Related Disorder (RA00.0)
Vaping related disorder, identified by the ICD-11 code RA00.0, is a condition that develops from inhaling vaporised solutions. These solutions commonly contain flavourings, and may include nicotine or other substances, when used with electronic nicotine delivery systems (ENDS) or electronic non-nicotine delivery systems (ENNDS). A key diagnostic consideration is the exclusion of infections as the primary cause of lung damage. Relevant findings often include evidence of pulmonary infiltrates on imaging.Recognising the Signs of Vaping Related Disorder
Individuals experiencing vaping related disorder may present with a range of symptoms affecting the respiratory system and general well-being. These can include:- Cough
- Shortness of breath or difficulty breathing
- Chest pain or tightness
- Fever and chills
- Abdominal pain
- Nausea and vomiting
- Unexplained weight loss
Factors Contributing to Vaping Related Disorder
The primary cause of vaping related disorder is the use of e-cigarettes and vaping products. While the exact components responsible for the lung inflammation are still under investigation, a significant association has been observed with vitamin E acetate, particularly when present in THC-containing e-liquids. Inhaling heated vitamin E acetate may lead to lung damage. Anyone who vapes is susceptible, but individuals who vape THC, especially from informal sources, may face a higher risk.Diagnosing Vaping Related Disorder (RA00.0)
Diagnosing vaping related disorder (RA00.0) can be complex due to symptom overlap with other respiratory conditions. Healthcare providers typically begin by reviewing a patient's medical history, focusing on vaping habits, and conducting a physical examination, including listening to the lungs. Diagnostic tests commonly employed to confirm the condition include:- Blood oxygen level tests to assess oxygen saturation.
- Imaging studies such as chest X-rays or computed tomography (CT) scans to identify lung damage.
- Pulmonary function tests (PFTs) to evaluate lung capacity and performance.
Managing Vaping Related Disorder
Management of vaping related disorder focuses on reducing inflammation and supporting respiratory function. Treatment strategies may include:- Corticosteroids, administered via inhaler or nebulizer, to decrease inflammation in the lungs.
- Oxygen therapy to supplement oxygen levels.
- Mechanical ventilation for individuals with severe respiratory distress.
Alternative Names for Vaping Related Disorder
Vaping related disorder (RA00.0) is also known by several other terms, reflecting its clinical presentation and association with vaping products. These include:- E-cigarette, or vaping, product use associated lung injury (EVALI)
- Dabbing related lung damage
- Dabbing related disorder
- Electronic cigarette related lung damage
- Electronic cigarette related lung injury
- Dabbing related lung injury
- E-cigarette related disorder