Vaporizer (inhalation device)

Last updated

A vaporization heat wand and vaporization chamber bowl used to deliver vapor through a water pipe VripTechVHWInAction.jpg
A vaporization heat wand and vaporization chamber bowl used to deliver vapor through a water pipe

A vaporizer or vaporiser, colloquially known as a vape, is a device used to vaporize substances for inhalation. Plant substances can be used, commonly cannabis, tobacco, or other herbs or blends of essential oil. [1] However, they are most commonly filled with a combination propylene glycol, glycerin, and drugs such as nicotine from tobacco or tetrahydrocannabinol (THC) from cannabis as a liquid solution. [2]

Contents

Vaporizers contain various forms of extraction chambers including straight bore, venturi, or sequential venturi, and are made of materials such as metal or glass. The extracted vapor may be collected in an inflatable bag, or inhaled directly through a hose or pipe. When used properly, cooler temperatures due to lack of combustion [3] result in significantly more efficient extraction of the ingredients. Hence, the irritating and harmful effects of smoking are heavily reduced, [4] [5] [6] [7] [8] as is its secondhand smoke.

Cannabis vaporizers

Cannabis flower is commonly consumed using a dry-herb vaporizer. The cannabis may be heated in a chamber via indirect flame exposure or an electrical heating element, allowing users to inhale the resulting vapor. The temperatures reached are cooler than the combustion temperature of cannabis, which is around 230–315 °C (445–600 °F). [9]

Cannabis is also consumed via the vaporization of cannabis concentrates or oils extracted from the plant, commonly referred to as "dabbing". Users typically employ a torch to heat a small cup shaped quartz or titanium attachment on a bong before dabbing the oil onto the heated surface and inhaling the vapors through the bong. [10] This route of consumption is generally much more potent than smoking or vaporizing marijuana flower due to the increased concentration of cannabinoids. Users typically report that the effects of dabbing are much more intense than regular cannabis, while also being shorter lived. [11]

Cannabis concentrate is also commonly used in e-cigarette style vaporizer pens in the form of liquid containers known as cartridges. A battery connected to the atomizer is used to heat the cannabis oil, creating a vapor that is inhaled by the user. Cartridges typically contain different preparations of cannabis oil mixed with cannabinoids, terpenes, solvents (primarily Propylene glycol and Glycerol) used for thinning, fatty acids, and flavonoids. Natural or artificial terpenes are frequently added by manufacturers to enhance flavor, often using blends that mimic popular cannabis strains or sugary foods such as candy or pastries. [12]

Of the studies that have investigated cannabis vaporization, few have addressed the quality of the vapor extracted and delivered; instead, studies usually focus on the mode of usage of the vaporizers. However, those that have addressed vapor quality have demonstrated promising results. Such studies suggest that the absence of combustion results in an aerosol that contains significantly lower amounts of harmful substances found in smoke, such as tar, carbon monoxide, and carcinogenic compounds known as polynuclear aromatic hydrocarbons (PAH). [13] [9] [14] One study found that cannabis smoke contains 111 compounds (including several carcinogenic PAHs) in addition to the cannabinoids, whereas only 3 additional compounds were identified in cannabis vapor, other than the cannabinoids. [9] This suggests that the vaporization of cannabis may be a safer alternative to combusted cannabis. [15] On the other hand, a study in the UK (where cannabis is illegal) found that some illicitly distributed cannabis vaporizers contained harmful levels of xylazine, an animal sedative which can lead to overdose. [16]

Vaporizing cannabis exposes the user to lower levels of harmful substances than smoking cannabis. [9] [17] [18] [19] These findings are important for it is estimated that 10–20% of patients with chronic pain, multiple sclerosis, epilepsy, and HIV/AIDS have admitted to smoking cannabis for therapeutic purposes. For patients, a study found that smoking cannabis sativa reduced daily pain by 34%, a statistically significant amount. [20]

In a study published in the Journal of Psychopharmacology in May 2008, it was stated that vaporizers were a "suitable method for the administration of THC". [21] A 2007 study by the University of California, San Francisco, published in the Journal of the American Academy of Neurology, found that "there was virtually no exposure to harmful combustion products using the vaporizing device". [7] A 2006 study performed by researchers at Leiden University found that vaporizers were "safe and effective cannabinoid delivery system(s)". The study stated that the amount of THC delivered by vaporizers were equivalent to the amount delivered by smoking. [19] Because of those studies and other studies, vaporizers are considered medically sound devices for delivering THC. [13]

Efficiency

The proposed factors affecting output include: [9] [19]

Not all those have been scientifically tested. Research using vaporizers found the delivery efficiency highest at around 226 °C (439 °F), falling to about half efficiency at 150 to 180 °C (302 to 356 °F) depending on material. [19] The purest preparations produced the highest efficiencies, about 56% for pure THC versus 29% for plant material (female flower tops) with 12% THCA content. Besides THC, several other cannabinoids as well as a range of other plant components including terpenoids were detected in the plant material. Using pure THC in the vaporizer, no degradation products (delta-8-THC (D8-THC), cannabinol (CBN), or unknown compounds) were detected by HPLC analysis. [19] The longer vapor is stored, the more THC is lost as it condenses on the surface of the vaporizer or the balloon. This loss may be negligible over a few minutes but may exceed 50% after 90 minutes. [19] The Leiden University study found that as much as 30–40% of inhaled THC was not absorbed by the lungs but simply exhaled. However, they did not find large individual differences in the amounts exhaled. [19]

E-cigarette vaporizers

A first-generation e-cigarette that resembles a tobacco cigarette, with a battery portion that can be disconnected and recharged using the USB power charger Electronic Cigarette and USB Charger (14939561277) (retouched).jpg
A first-generation e-cigarette that resembles a tobacco cigarette, with a battery portion that can be disconnected and recharged using the USB power charger
Various types of e-cigarettes from 2015, including a disposable e-cigarette, a rechargeable e-cigarette, a medium-size tank device, large-size tank devices, an e-cigar, and an e-pipe CDC electronic cigarettes October 2015 (cropped).png
Various types of e-cigarettes from 2015, including a disposable e-cigarette, a rechargeable e-cigarette, a medium-size tank device, large-size tank devices, an e-cigar, and an e-pipe

An electronic cigarette (e-cigarette), or vape, [note 1] [22] is a device that simulates tobacco smoking. It consists of an atomizer, a power source such as a battery, and a container such as a cartridge or tank. Instead of smoke, the user inhales vapor, [23] often called "vaping". [24]

The atomizer is a heating element that vaporizes a liquid solution called e-liquid [25] that cools into an aerosol of tiny droplets, vapor and air. [26] The vapor mainly comprises propylene glycol and/or glycerin, usually with nicotine and flavoring. Its exact composition varies, and depends on matters such as user behavior. [note 2] E-cigarettes are activated by taking a puff or pressing a button. [24] [27] Some look like traditional cigarettes, [24] [28] and most kinds are reusable. [note 3]

Vaping is less harmful than smoking, [30] but still has health risks. [31] Vaping affects asthma [32] and chronic obstructive pulmonary disease. [33] [34] [35] Nicotine is highly addictive. [36] Limited evidence indicates that e-cigarettes are less addictive than smoking, with slower nicotine absorption rates. [37] [38]

E-cigarettes containing nicotine are more effective than nicotine replacement therapy (NRT) for smoking cessation, [39] but have not been subject to the same rigorous testing that most nicotine replacement therapy products have. [40]
Various types of electronic cigarettes Electronic Nicotine Delivery Systems.jpg
Various types of electronic cigarettes

An electronic cigarette is a handheld battery-powered vaporizer that simulates smoking by providing some of the behavioral aspects of smoking, including the hand-to-mouth action of smoking, but without combusting tobacco. [41] Using an e-cigarette is known as "vaping" and the user is referred to as a "vaper." [42] Instead of cigarette smoke, the user inhales an aerosol, commonly called vapor. [43] E-cigarettes typically have a heating element that atomizes a liquid solution called e-liquid. [44] E-cigarettes may be automatically activated by taking a puff; [45] others turn on manually by pressing a button. [42] Some e-cigarettes look like traditional cigarettes, [46] but they come in many variations. [42] Most versions are reusable, though some are disposable. [47] There are first-generation, [48] second-generation, [49] third-generation, [50] and fourth-generation devices. [51] E-liquids usually contain propylene glycol, glycerin, nicotine, flavorings, additives, and differing amounts of contaminants. [52] E-liquids are also sold without propylene glycol, [53] nicotine, [54] or flavors. [55]

There is tentative evidence they may help people quit smoking. [56] There is concern with the possibility that non-smokers and children may start nicotine use with e-cigarettes at a rate higher than anticipated than if they were never created. [57] Following the possibility of nicotine addiction from e-cigarette use, there is concern children may start smoking cigarettes. [57] Youth who use e-cigarettes are more likely to go on to smoke cigarettes. [58] [59] Their part in tobacco harm reduction is unclear, [60] while another review found they appear to have the potential to lower tobacco-related death and disease. [61] Regulated US Food and Drug Administration nicotine replacement products may be safer than e-cigarettes, [60] but e-cigarettes are generally seen as safer than combusted tobacco products. [62] [63] It is estimated their safety risk to users is similar to that of smokeless tobacco. [64] The long-term effects of e-cigarette use are unknown. [65] [66] [67] The risk from serious adverse events was reported in 2016 to be low. [68] Less serious adverse effects include abdominal pain, headache, blurry vision, [69] throat and mouth irritation, vomiting, nausea, and coughing. [70] Nicotine itself is associated with some health harms. [71] In 2019 and 2020, an outbreak of severe lung illness throughout the US was linked to the use of contaminated black market THC vape cartridges. [72]


Other drug

Vaporizers can be used to inhale other recreational drugs as well. A wide variety can be consumed this way, either dissolved in e-liquid or vaporized directly. [73] The use of e-cigarettes to inhale the psychedelic drug DMT has been reported. [74]

Culinary application

Vaporizers are sometimes used by chefs as a method of applying controlled heat to herbs and spices to release flavors that are otherwise difficult to titrate or apply, or that might be spoiled by overheating during cooking. [75] [76] [77] Grant Achatz, chef-proprietor of Alinea in Chicago, "uses the aroma-filled bags as place-mats, punctured when plates are placed in front of the customer". [75]

See also

Bibliography

Notes

  1. Also known as an e-cig, vaporizer, vape pen, hookah pen, e-pipe, nic stick, razz or, formally, electronic nicotine delivery system (ENDS). [22]
  2. A 2014 review found "In addition to the uniqueness of the liquid compositions in each brand, inconsistency of both the device performance properties and the data collection methodologies used by researchers contribute to the observed variation in constituent levels and to the range of particle size distributions among products." [23]
  3. "Most ENDS consist of a rechargeable, battery-operated heating element and a replaceable or refillable cartridge for the e-liquid. An atomizer heats the liquid in the cartridge to convert it into an aerosol, which is then inhaled by the user. Most of these products are rechargeable, but some are disposable." [29]

References

  1. Stefaniak, Aleksandr B.; LeBouf, Ryan F.; Ranpara, Anand C.; Leonard, Stephen S. (2021). "Toxicology of flavoring- and cannabis-containing e-liquids used in electronic delivery systems". Pharmacology & Therapeutics. 224: 107838. doi:10.1016/j.pharmthera.2021.107838. ISSN   0163-7258. PMC   8251682 . PMID   33746051.
  2. Li, Liqiao; Lee, Eon S.; Nguyen, Charlene; Zhu, Yifang (2020). "Effects of propylene glycol, vegetable glycerin, and nicotine on emissions and dynamics of electronic cigarette aerosols". Aerosol Science and Technology. 54 (11): 1270–1281. Bibcode:2020AerST..54.1270L. doi:10.1080/02786826.2020.1771270. ISSN   0278-6826. PMC   7590927 . PMID   33116348.
  3. Stephen A. Greene (2002). Veterinary Anesthesia and Pain Management Secrets. Elsevier Health Sciences. ISBN   978-1560534426.
  4. Earleywine M, Barnwell SS (2007). "Decreased respiratory symptoms in cannabis users who vaporize". Harm Reduction Journal. 4: 11. doi: 10.1186/1477-7517-4-11 . PMC   1853086 . PMID   17437626.
  5. "Vaporizers for Medical Marijuana". www.aids.org. Archived from the original on 2010-07-18. Retrieved 2008-07-28.
  6. Grotenhermen F (June 2001). "Harm Reduction Associated with Inhalation and Oral Administration of Cannabis and THC". Journal of Cannabis Therapeutics. 1 (3 & 4): 133–152. doi:10.1300/J175v01n03_09.
  7. 1 2 Abrams DI, Vizoso HP, Shade SB, Jay C, Kelly ME, Benowitz NL (November 2007). "Vaporization as a smokeless cannabis delivery system: a pilot study" (PDF). Clinical Pharmacology and Therapeutics. 82 (5): 572–578. doi:10.1038/sj.clpt.6100200. PMID   17429350. S2CID   14629288. Archived from the original (PDF) on 2007-06-06. Retrieved 2011-02-23.
  8. "The Centennial Celebration – Washington, D.C. September 13–17, 1948". Science. 108 (2800): 205–206. August 1948. doi: 10.1126/science.108.2800.205 . PMID   17821306.
  9. 1 2 3 4 5 Gieringer, Dale; St. Laurent, Joseph; Goodrich, Scott (9 February 2004). "Cannabis Vaporizer Combines Efficient Delivery of THC with Effective Suppression of Pyrolytic Compounds" (PDF). Journal of Cannabis Therapeutics. 4 (1): 7–27. doi:10.1300/J175v04n01_02 . Retrieved June 20, 2010.
  10. "Vaping & Marijuana Concentrates" (PDF). Drug Enforcement Administration . 2020. Retrieved 2023-10-28.
  11. Chaiton, Michael; Kundu, Anasua; Rueda, Sergio; Di Ciano, Patricia (2021-08-26). "Are vaporizers a lower-risk alternative to smoking cannabis?". Canadian Journal of Public Health. 113 (2): 293–296. doi:10.17269/s41997-021-00565-w. ISSN   0008-4263. PMC   8975973 . PMID   34448130.
  12. Guo, Weihong; Vrdoljak, Gordon; Liao, Ven-Chi; Moezzi, Bahman (21 June 2021). "Major Constituents of Cannabis Vape Oil Liquid, Vapor and Aerosol in California Vape Oil Cartridge Samples". Frontiers in Chemistry. 9. Front Chem.: 694905. doi: 10.3389/fchem.2021.694905 . PMC   8333608 . PMID   34368078.
  13. 1 2 Gieringer DH (June 2001). "Cannabis 'Vaporization'". Journal of Cannabis Therapeutics. 1 (3 & 4): 153–170. doi:10.1300/J175v01n03_10.
  14. Abrams, D. I.; Vizoso, H. P.; Shade, S. B.; Jay, C.; Kelly, M. E.; Benowitz, N. L. (2007). "Vaporization as a Smokeless Cannabis Delivery System: A Pilot Study" . Clinical Pharmacology & Therapeutics. 82 (5): 572–578. doi:10.1038/sj.clpt.6100200. ISSN   1532-6535. PMID   17429350. S2CID   14629288.
  15. Loflin, Mallory; Earleywine, Mitch (2015). "No smoke, no fire: What the initial literature suggests regarding vapourized cannabis and respiratory risk". Canadian Journal of Respiratory Therapy. 51 (1): 7–9. ISSN   1205-9838. PMC   4456813 . PMID   26078621.
  16. Hall, Rachel (2024-04-10). "Animal tranquilliser found in cannabis vapes and illicit sedatives in UK". The Guardian. ISSN   0261-3077 . Retrieved 2024-04-10.
  17. "Marijuana Vaporizer Provides Same Level Of THC, Fewer Toxins, Study Shows", Official Journal of the American Academy of Neurology (summarized by Science Daily) (2007-05-16)". Sciencedaily.com. 2007-05-16. Retrieved 2011-02-23.
  18. "Cal NORML/MAPS Study Shows Vaporizer Can Drastically Reduce Toxins in Marijuana Smoke". Canorml.org. Retrieved 2011-02-23.
  19. 1 2 3 4 5 6 7 Hazekamp A, Ruhaak R, Zuurman L, van Gerven J, Verpoorte R (June 2006). "Evaluation of a vaporizing device (Volcano) for the pulmonary administration of tetrahydrocannabinol". Journal of Pharmaceutical Sciences. 95 (6): 1308–17. doi:10.1002/jps.20574. PMID   16637053.
  20. Barohn, Richard (2013). Peripheral Neuropathies, An Issue of Neurologic Clinics. Elsevier. ISBN   978-1455771226.
  21. Zuurman L; Roy C; Schoemaker RC; et al. (September 2008). "Effect of intrapulmonary tetrahydrocannabinol administration in humans". Journal of Psychopharmacology . 22 (7): 707–16. doi:10.1177/0269881108089581. PMID   18515447. S2CID   6094814.
  22. 1 2 "Vaporizers, E-Cigarettes, and other Electronic Nicotine Delivery Systems (ENDS)". United States Food and Drug Administration. 14 February 2020. Archived from the original on 29 April 2019.PD-icon.svg This article incorporates text from this source, which is in the public domain.
  23. 1 2 Cheng, T. (2014). "Chemical evaluation of electronic cigarettes". Tobacco Control. 23 (Supplement 2): ii11 –ii17. doi:10.1136/tobaccocontrol-2013-051482. ISSN   0964-4563. PMC   3995255 . PMID   24732157.
  24. 1 2 3 Orellana-Barrios, Menfil A.; Payne, Drew; Mulkey, Zachary; Nugent, Kenneth (2015). "Electronic cigarettes-a narrative review for clinicians". The American Journal of Medicine. 128 (7): 674–81. doi: 10.1016/j.amjmed.2015.01.033 . ISSN   0002-9343. PMID   25731134.
  25. Weaver, Michael; Breland, Alison; Spindle, Tory; Eissenberg, Thomas (2014). "Electronic Cigarettes". Journal of Addiction Medicine. 8 (4): 234–240. doi:10.1097/ADM.0000000000000043. ISSN   1932-0620. PMC   4123220 . PMID   25089953.
  26. David, Grégory; Parmentier, Evelyne A.; Taurino, Irene; Signorell, Ruth (December 2020). "Tracing the composition of single e-cigarette aerosol droplets in situ by laser-trapping and Raman scattering". Scientific Reports. 10 (1): 7929. Bibcode:2020NatSR..10.7929D. doi:10.1038/s41598-020-64886-5. PMC   7220912 . PMID   32404884.
  27. Rahman, Muhammad; Hann, Nicholas; Wilson, Andrew; Worrall-Carter, Linda (2014). "Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues". Tobacco Induced Diseases. 12 (1): 21. doi: 10.1186/1617-9625-12-21 . PMC   4350653 . PMID   25745382.
  28. Pepper, J. K.; Brewer, N. T. (2013). "Electronic nicotine delivery system (electronic cigarette) awareness, use, reactions and beliefs: a systematic review". Tobacco Control. 23 (5): 375–384. doi:10.1136/tobaccocontrol-2013-051122. ISSN   0964-4563. PMC   4520227 . PMID   24259045.
  29. Drope, Jeffrey; Cahn, Zachary; Kennedy, Rosemary; Liber, Alex C.; Stoklosa, Michal; Henson, Rosemarie; Douglas, Clifford E.; Drope, Jacqui (November 2017). "Key issues surrounding the health impacts of electronic nicotine delivery systems (ENDS) and other sources of nicotine". CA: A Cancer Journal for Clinicians. 67 (6): 449–471. doi: 10.3322/caac.21413 . ISSN   0007-9235. PMID   28961314. S2CID   32928770.
  30. Yayan, Josef; Franke, Karl-Josef; Biancosino, Christian; Rasche, Kurt (2024-03-01). "Comparative systematic review on the safety of e-cigarettes and conventional cigarettes". Food and Chemical Toxicology. 185 114507. doi: 10.1016/j.fct.2024.114507 . ISSN   0278-6915. PMID   38331086.
  31. Balfour, David J. K.; Benowitz, Neal L.; Colby, Suzanne M.; Hatsukami, Dorothy K.; Lando, Harry A.; Leischow, Scott J.; Lerman, Caryn; Mermelstein, Robin J.; Niaura, Raymond; Perkins, Kenneth A.; Pomerleau, Ovide F.; Rigotti, Nancy A.; Swan, Gary E.; Warner, Kenneth E.; West, Robert (September 2021). "Balancing Consideration of the Risks and Benefits of E-Cigarettes". American Journal of Public Health. 111 (9): 1661–1672. doi:10.2105/AJPH.2021.306416. PMC   8589069 . PMID   34410826. Among potentially toxic substances common to both products, cigarette smoke generally contains substantially larger quantities than e-cigarette aerosol. However, e-cigarette aerosol contains some substances not found in cigarette smoke."
  32. Chand, Benjamin R.; and Hosseinzadeh, Hassan (2022-09-02). "Association between e-cigarette use and asthma: a systematic review and meta-analysis" . Journal of Asthma. 59 (9): 1722–1731. doi:10.1080/02770903.2021.1971703. ISSN   0277-0903. PMID   34433366.
  33. Song, Chunyan; Hao, Xiaoning; Critselis, Elena; Panagiotakos, Demosthenes (2025-04-01). "The impact of electronic cigarette use on chronic obstructive pulmonary disease: A systematic review and meta-analysis" . Respiratory Medicine. 239 107985. doi:10.1016/j.rmed.2025.107985. ISSN   0954-6111. PMID   39921069.
  34. Erhabor, John; Yao, Zhiqi; Tasdighi, Erfan; Benjamin, Emelia J.; Bhatnagar, Aruni; Blaha, Michael J. (2025). "E-cigarette Use and Incident Cardiometabolic Conditions in the All of Us Research Program" . Nicotine & Tobacco Research ntaf067. doi:10.1093/ntr/ntaf067. PMID   40089810.
  35. Caci, Grazia; Selya, Arielle; La Rosa, Giusy Rita Maria; Spicuzza, Lucia; Morjaria, Jaymin B.; Geraci, Giulio; Polosa, Riccardo (2025-03-01). "Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review". Clinical Medicine. 25 (2): 100295. doi:10.1016/j.clinme.2025.100295. ISSN   1470-2118. PMC   11930579 . PMID   39993529.
  36. "Policy on Electronic Nicotine Delivery Systems (ENDS)" (PDF). American Academy of Pediatrics. 2020. Retrieved 13 November 2022.
  37. National Academies of Sciences, Engineering, and Medicine (NASEM) (18 May 2018). Stratton, Kathleen; Kwan, Leslie Y.; Eaton, David L. (eds.). "Public Health Consequences of E-Cigarettes". National Academies Press. National Academies Press (US). doi:10.17226/24952. ISBN   978-0-309-46834-3. PMID   29894118.{{cite journal}}: CS1 maint: multiple names: authors list (link) |quote="There is moderate evidence that risk and severity of dependence are lower for e-cigarettes than combustible tobacco cigarettes."
  38. UK Office for Health Improvement and Disparities (OHID) (2022). "Nicotine vaping in England: an evidence update including health risks and perceptions, September 2022. A report commissioned by the Office for Health Improvement and Disparities" (PDF). Uk.gov. Retrieved 27 December 2024.|quote=...there is substantial evidence that vaping product use delivers lower peak and overall nicotine levels to users than smoking, which may translate to lower dependence risks compared with smoking.
  39. Lindson, Nicola; Butler, Ailsa R.; McRobbie, Hayden; Bullen, Chris; Hajek, Peter; Wu, Angela Difeng; Begh, Rachna; Theodoulou, Annika; Notley, Caitlin; Rigotti, Nancy A.; Turner, Tari; Livingstone-Banks, Jonathan; Morris, Tom; Hartmann-Boyce, Jamie (2025-01-29). "Electronic cigarettes for smoking cessation". The Cochrane Database of Systematic Reviews. 1 (1): CD010216. doi:10.1002/14651858.CD010216.pub9. ISSN   1469-493X. PMC   11776059 . PMID   39878158.
  40. Carpenter, Matthew J.; Wahlquist, Amy E.; Dahne, Jennifer; Gray, Kevin M.; Cummings, K. Michael; Warren, Graham; Wagener, Theodore L.; Goniewicz, Maciej L.; Smith, Tracy T. (September 2023). ""Effect of unguided e-cigarette provision on uptake, use, and smoking cessation among adults who smoke in the USA: a naturalistic, randomised, controlled clinical trial."". eClinicalMedicine. 63 102142. doi:10.1016/j.eclinm.2023.102142. PMC   10518503 . PMID   37753443.
  41. Caponnetto, Pasquale; Campagna, Davide; Papale, Gabriella; Russo, Cristina; Polosa, Riccardo (2012). "The emerging phenomenon of electronic cigarettes". Expert Review of Respiratory Medicine. 6 (1): 63–74. doi:10.1586/ers.11.92. ISSN   1747-6348. PMID   22283580. S2CID   207223131.
  42. 1 2 3 Orellana-Barrios, Menfil A.; Payne, Drew; Mulkey, Zachary; Nugent, Kenneth (2015). "Electronic cigarettes-a narrative review for clinicians". The American Journal of Medicine. 128 (7): 674–81. doi: 10.1016/j.amjmed.2015.01.033 . ISSN   0002-9343. PMID   25731134.
  43. Cheng, T. (2014). "Chemical evaluation of electronic cigarettes". Tobacco Control. 23 (Supplement 2): ii11 –ii17. doi:10.1136/tobaccocontrol-2013-051482. ISSN   0964-4563. PMC   3995255 . PMID   24732157.
  44. Weaver, Michael; Breland, Alison; Spindle, Tory; Eissenberg, Thomas (2014). "Electronic Cigarettes". Journal of Addiction Medicine. 8 (4): 234–240. doi:10.1097/ADM.0000000000000043. ISSN   1932-0620. PMC   4123220 . PMID   25089953.
  45. Rahman, Muhammad; Hann, Nicholas; Wilson, Andrew; Worrall-Carter, Linda (2014). "Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues". Tobacco Induced Diseases . 12 (1): 21. doi: 10.1186/1617-9625-12-21 . PMC   4350653 . PMID   25745382.
  46. Pepper, J. K.; Brewer, N. T. (2013). "Electronic nicotine delivery system (electronic cigarette) awareness, use, reactions and beliefs: a systematic review". Tobacco Control. 23 (5): 375–384. doi:10.1136/tobaccocontrol-2013-051122. ISSN   0964-4563. PMC   4520227 . PMID   24259045.
  47. Drope, Jeffrey; Cahn, Zachary; Kennedy, Rosemary; Liber, Alex C.; Stoklosa, Michal; Henson, Rosemarie; Douglas, Clifford E.; Drope, Jacqui (2017). "Key issues surrounding the health impacts of electronic nicotine delivery systems (ENDS) and other sources of nicotine". CA: A Cancer Journal for Clinicians. 67 (6): 449–471. doi: 10.3322/caac.21413 . ISSN   0007-9235. PMID   28961314.
  48. Bhatnagar, A.; Whitsel, L. P.; Ribisl, K. M.; Bullen, C.; Chaloupka, F.; Piano, M. R.; Robertson, R. M.; McAuley, T.; Goff, D.; Benowitz, N. (24 August 2014). "Electronic Cigarettes: A Policy Statement From the American Heart Association". Circulation. 130 (16): 1418–1436. doi: 10.1161/CIR.0000000000000107 . PMC   7643636 . PMID   25156991.
  49. Hayden McRobbie (2014). "Electronic cigarettes" (PDF). National Centre for Smoking Cessation and Training. pp. 1–16. Archived from the original (PDF) on 2022-04-23. Retrieved 2015-11-06.
  50. Farsalinos KE, Spyrou A, Tsimopoulou K, Stefopoulos C, Romagna G, Voudris V (2014). "Nicotine absorption from electronic cigarette use: Comparison between first and new-generation devices". Scientific Reports. 4: 4133. Bibcode:2014NatSR...4E4133F. doi:10.1038/srep04133. PMC   3935206 . PMID   24569565.
  51. Konstantinos Farsalinos. "Electronic cigarette evolution from the first to fourth generation and beyond" (PDF). gfn.net.co. Global Forum on Nicotine. Archived from the original (PDF) on 8 July 2015. Retrieved 23 September 2015.
  52. England, Lucinda J.; Bunnell, Rebecca E.; Pechacek, Terry F.; Tong, Van T.; McAfee, Tim A. (2015). "Nicotine and the Developing Human". American Journal of Preventive Medicine. 49 (2): 286–93. doi:10.1016/j.amepre.2015.01.015. ISSN   0749-3797. PMC   4594223 . PMID   25794473.
  53. Oh, Anne Y.; Kacker, Ashutosh (December 2014). "Do electronic cigarettes impart a lower potential disease burden than conventional tobacco cigarettes?: Review on e-cigarette vapor versus tobacco smoke". The Laryngoscope. 124 (12): 2702–2706. doi: 10.1002/lary.24750 . PMID   25302452. S2CID   10560264.
  54. Leduc, Charlotte; Quoix, Elisabeth (2016). "Is there a role for e-cigarettes in smoking cessation?". Therapeutic Advances in Respiratory Disease. 10 (2): 130–135. doi:10.1177/1753465815621233. ISSN   1753-4658. PMC   5933562 . PMID   26668136.
  55. Wilder 2016, p. 82.
  56. McRobbie, Hayden; Bullen, Chris; Hartmann-Boyce, Jamie; Hajek, Peter; McRobbie, Hayden (2014). "Electronic cigarettes for smoking cessation and reduction". The Cochrane Database of Systematic Reviews. 12 (12): CD010216. doi:10.1002/14651858.CD010216.pub2. hdl: 2292/27824 . PMID   25515689.
  57. 1 2 WHO 2014, p. 6.
  58. "E-Cigarette Use Among Youth and Young Adults A Report of the Surgeon General: Fact Sheet" (PDF). Surgeon General of the United States. 2016.PD-icon.svg This article incorporates text from this source, which is in the public domain .
  59. Stratton 2018, p. Summary, 16.
  60. 1 2 Drummond, MB; Upson, D (February 2014). "Electronic cigarettes. Potential harms and benefits". Annals of the American Thoracic Society. 11 (2): 236–42. doi:10.1513/annalsats.201311-391fr. PMC   5469426 . PMID   24575993.
  61. M., Z.; Siegel, M (February 2011). "Electronic cigarettes as a harm reduction strategy for tobacco control: a step forward or a repeat of past mistakes?". Journal of Public Health Policy. 32 (1): 16–31. doi: 10.1057/jphp.2010.41 . PMID   21150942.
  62. Knorst, Marli Maria; Benedetto, Igor Gorski; Hoffmeister, Mariana Costa; Gazzana, Marcelo Basso (2014). "The electronic cigarette: the new cigarette of the 21st century?". Jornal Brasileiro de Pneumologia. 40 (5): 564–572. doi:10.1590/S1806-37132014000500013. ISSN   1806-3713. PMC   4263338 . PMID   25410845.
  63. Burstyn, Igor (9 January 2014). "Peering through the mist: systematic review of what the chemistry of contaminants in electronic cigarettes tells us about health risks". BMC Public Health. 14 (1): 18. doi: 10.1186/1471-2458-14-18 . ISSN   1471-2458. PMC   3937158 . PMID   24406205.
  64. Caponnetto P; Russo C; Bruno CM; Alamo A; Amaradio MD; Polosa R. (Mar 2013). "Electronic cigarette: a possible substitute for cigarette dependence". Monaldi Archives for Chest Disease. 79 (1): 12–19. doi: 10.4081/monaldi.2013.104 . PMID   23741941.
  65. Hartmann-Boyce, Jamie; McRobbie, Hayden; Lindson, Nicola; Bullen, Chris; Begh, Rachna; Theodoulou, Annika; Notley, Caitlin; Rigotti, Nancy A.; Turner, Tari; Butler, Ailsa R.; Fanshawe, Thomas R. (2021-04-29). "Electronic cigarettes for smoking cessation". The Cochrane Database of Systematic Reviews. 4 (8): CD010216. doi:10.1002/14651858.CD010216.pub5. ISSN   1469-493X. PMC   8092424 . PMID   33913154.
  66. Brady, Benjamin R.; De La Rosa, Jennifer S.; Nair, Uma S.; Leischow, Scott J. (2019). "Electronic Cigarette Policy Recommendations: A Scoping Review". American Journal of Health Behavior. 43 (1): 88–104. doi:10.5993/AJHB.43.1.8. ISSN   1087-3244. PMID   30522569. S2CID   54566712.
  67. Bals, Robert; Boyd, Jeanette; Esposito, Susanna; Foronjy, Robert; Hiemstra, Pieter S.; Jiménez-Ruiz, Carlos A.; Katsaounou, Paraskevi; Lindberg, Anne; Metz, Carlos; Schober, Wolfgang; Spira, Avrum; Blasi, Francesco (2019). "Electronic cigarettes: a task force report from the European Respiratory Society". European Respiratory Journal. 53 (2): 1801151. doi: 10.1183/13993003.01151-2018 . ISSN   0903-1936. PMID   30464018.
  68. Paley, Grace L.; Echalier, Elizabeth; Eck, Thomas W.; Hong, Augustine R.; Farooq, Asim V.; Gregory, Darren G.; Lubniewski, Anthony J. (2016). "Corneoscleral Laceration and Ocular Burns Caused by Electronic Cigarette Explosions". Cornea. 35 (7): 1015–1018. doi:10.1097/ICO.0000000000000881. ISSN   0277-3740. PMC   4900417 . PMID   27191672.
  69. Breland, Alison B.; Spindle, Tory; Weaver, Michael; Eissenberg, Thomas (2014). "Science and Electronic Cigarettes". Journal of Addiction Medicine. 8 (4): 223–233. doi:10.1097/ADM.0000000000000049. ISSN   1932-0620. PMC   4122311 . PMID   25089952.
  70. Grana, R; Benowitz, N; Glantz, SA (13 May 2014). "E-cigarettes: a scientific review". Circulation. 129 (19): 1972–86. doi:10.1161/circulationaha.114.007667. PMC   4018182 . PMID   24821826.
  71. Edgar, Julie (12 November 2013). "E-Cigarettes: Expert Q&A With the CDC". WebMD.
  72. "Outbreak of Lung Illness Associated with Using E-cigarette Products". Centers for Disease Control and Prevention. 28 January 2020.PD-icon.svg This article incorporates text from this source, which is in the public domain .
  73. Varlet V (December 2016). "Drug Vaping: From the Dangers of Misuse to New Therapeutic Devices". Toxics. 4 (4): 29. doi: 10.3390/toxics4040029 . PMC   5606648 . PMID   29051432.
  74. Power M (2020-06-05). "I Sell DMT Vape Pens So People Can 'Break Through' at Their Own Speed". Vice.com. Retrieved 2020-07-12.
  75. 1 2 Bob Gledhill (22 August 2007). "Alinea restaurant uses Volcano as flavorizer". Caterersearch.com. Retrieved 2011-02-23.
  76. "Tools for creating aromatic flavors". Chow.com. 2007-01-18. Retrieved 2011-02-23.
  77. "Volcano used to release nutmeg aroma". Rimag.com. Archived from the original on 2009-01-24. Retrieved 2011-02-23.