E-cigarettes: The Basics, Use in Smoking Cessation, and the Adolescent Epidemic with Dr. Jonathan Winickoff

Published

The rise in popularity of e-cigarettes in the last 5 years has changed the landscape and language surrounding nicotine delivery, smoking cessation, and adolescent substance use. In this episode of Curbside Consults, Dr. Jonathan Winickoff, Professor of Pediatrics at Mass General Hospital for Children and Director of Pediatric Research at the Tobacco Research and Treatment Center at Massachusetts General Hospital, will get you up to speed on the latest research on the health effects of e-cigarettes, their role in smoking cessation, the growing prevalence of teen vaping, and what physicians can do about it inside and outside of the clinic.

00:00 Introduction
01:05 Learning objectives
01:21 What is an e-cigarette? What is vaping?
02:27 E-cigarettes versus conventional cigarettes
04:08 E-cigarette as a medication  
05:20 The literature behind e-cigarettes for smoking cessation in adults
10:38 Practical applications of e-cigarettes for smoking cessation in the clinic
14:50 The rising prevalence of adolescent use of e-cigarettes
15:50 How to counsel adolescent patients and families on e-cigarettes
19:37 Screening for e-cigarettes use with adolescent patients in the clinic
22:00 E-cigarette addiction in adolescents
22:50 Clinical approaches to prevent initiation of e-cigarettes in adolescents
26:05 Advocacy outside of the clinic to prevent adolescent e-cigarette use
28:20 Summary and key points from discussion

Additional Resources:

1. A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy by Hajek, et al. New England Journal of Medicine
2. Adolescent Vaping and Nicotine Use in 2017–2018 — U.S. National Estimates by Miech, et al. New England Journal of Medicine
3. Characteristics and toxicant emissions of JUUL electronic cigarettes by Talih S, et al. Tobacco Control
4. Centers for Disease Control and Prevention, Smoking & Tobacco Use, Electronic Cigarettes

The Curbside Consults series complements the foundational information in NEJM R360 Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

 Dr. Jonathan Winickoff, Professor of Pediatrics at Mass General Hospital for Children and Director of Pediatric Research at the Tobacco Research and Treatment Center at Massachusetts General Hospital

 

 Angela Castellanos is a general pediatrician and editorial fellow at the NEJM.

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