Up In a Puff of Smoke: E-Cigarette Use and its Impact for Patients Undergoing Anesthesia (1 Class A CE with .75 Pharm)

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Class A Credits: 1.00

Pharmacology Credits: .75

Format: Video

Course Launch Date: 10/1/20

Course Expires: 10/2/23

The electronic cigarette market is a 14 Billion dollar industry worldwide. As of August of 2019, 215 cases of severe pulmonary illness related to e-cigarette use are being investigated in the United States. The known hazards of e-cigarette use are rapidly coming to light with the sudden onset of serious bronchiolitis-related pulmonary disease in otherwise health people who were known to use e-cigarettes.

The makers of e-cigarettes have two primary target audiences for e-cigarettes and related products. They are existing smokers attempting to quit smoking and "never smokers" who range in ages for middle school to late adulthood. This discussion will include what is known about this insidious public health issue and considerations that anesthesia providers can employ when assessing and caring for patients with a history of e-cigarette usage.


Post-Test Attempt Notice
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:

The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthetists.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthetists has no responsibility or liability for the accuracy or completeness of the content.

  • Discuss E-cigarette use and identify the types of paraphernalia used to deliver the vapor.
  • Identify risks of e-cigarette usage and the substances that users are exposed to in the course of this habit.
  • Identify the potential hazards and pathophysiologic changes as a result of e-cigarette usage.
  • Identify the potential anesthetic complications for the patient who uses e-cigarettes.

Bernard Gilligan, III, DNP, CRNA, CHSE

Program Assistant Director, Cedar Crest College Nurse Anesthesia Program

Dr. Bernard Gilligan is the Program Assistant Director for the Cedar Crest College Nurse Anesthesia Program in Allentown, Pennsylvania. 

Dr. Gilligan has been a healthcare provider for 30 years and an educator over 20 years. He began his career as a critical care nurse and throughout his tenure has specialized in areas such as hyperbaric, flight, and emergency nursing.  During this time he earned his Bachelors degree in Nursing from Immaculata University.

Dr. Gilligan continued his education and completed a Master of Science in Nurse Anesthesiology from Saint Joseph's University/Nazareth Hospital School of Nurse Anesthesiology in 2005. He became a Certified Registered Nurse Anesthetist in 2005 and has maintained clinical practice at the Geisinger Health System in Pennsylvania for over 14 years. 

In 2009, Dr. Gilligan completed a Doctor of Nursing Practice degree with an emphasis in Simulation for Crisis Resource Management from Chatham University School of Nursing. He is a Certified Healthcare Simulation Educator by the Society for Simulation in Heathcare. His areas of interest include human factors and performance, patient safety, and medical simulation.

Dr. Gilligan serves as a staff nurse anesthetist at the Geisinger Health System in Pennsylvania. In addition to his clinical

experiences, Dr. Gilligan has served as the Program Director and Director of Anesthesia Simulation for a Nurse Anesthesia programs in the Northeast and has been a clinical preceptor for  nurse anesthesia programs throughout Pennsylvania. . 

Dr. Gilligan is currently an Item Writer/Reviewer for the National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA) for the National Certification Exam and has served as a Board Trustee for the Pennsylvania Association of Nurse Anesthetists.


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