Hi, my name is Mazin Zain. I am representing the Rehabilitation Institute of Michigan. I am presenting a case report on the inpatient rehabilitation outcomes following a bilateral lung transplant, secondary to vaping-induced lung injury. Vaping is becoming a much greater mainstream form of nicotine use, and its side effects must be better understood. The case presentation is a 17-year-old Caucasian male who suffered from acute respiratory failure, secondary to vaping-induced lung injury. The patient required VV ECMO and was later taken to the OR for a bilateral lung transplant. The patient was stabilized and transferred to acute inpatient rehabilitation due to a decline in mobility and functional status and decline in cardiopulmonary reserve. The acute care hospital course was mostly complicated by progressive respiratory distress, and secondary to interstitial lung disease and aspiration pneumonitis. The inpatient rehabilitation course was mostly complicated by significant musculoskeletal pain, symptomatic sinus tachycardia, hypertension, and adjustment disorder. All cases were treated conservatively and a neuropsychologist was on board as well. In terms of results, functional independence measures all improved when in comparison from admission to discharge, with notable improvement in mobility from moderate assistance to complete independence. Ambulation progressed from none to 90 feet with rolling walker and supervision, and wheelchair mobility increased from unable to perform to 150 feet with supervision. Both ADLs and transfers improved from maximum assistance to complete independence. In conclusion, our patient demonstrated significant improvement in multiple FIMS scores to date. This is the first reported case of an IPR patient admitted with bilateral lung transplant secondary to vaping-induced lung injury. As vaping use becomes more prevalent, its detrimental effects will continue to reveal themselves, and as physiatrists we must be aware of this.

lung transplant

vaping-induced lung injury

rehabilitation

functional improvement

case report