Letters Detrimental effects of e-cigarettes

Evidence, not conjecture, should guide clinical practice and policies on e-cigarettes

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g2008 (Published 10 March 2014) Cite this as: BMJ 2014;348:g2008
  1. Chris Bullen, director1,
  2. Oliver Knight-West, research fellow1,
  3. Brigid O’Brien, research fellow1,
  4. Natalie Walker, senior research fellow1
  1. 1National Institute of Health Innovation, School of Population Health, The University of Auckland, Private Bag 92019, Auckland 1142, New Zealand
  1. c.bullen{at}nihi.auckland.ac.nz

The BMJ recently published two letters raising concerns about patients using e-cigarettes in the perioperative setting that we believe are based on speculation and misinformation rather than evidence.1 2 Roberts and Davies’s letter should have been framed as a question because they provide no evidence that e-cigarette use is dangerous. Perioperative “acute nicotine intoxication” is attributed to e-cigarette use, but the authors provide no evidence this has occurred in clinical practice. Their use of …

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