Puff bars: a dangerous trend in adolescent disposable e-cigarette use

Curr Opin Pediatr. 2022 Jun 1;34(3):288-294. doi: 10.1097/MOP.0000000000001123.


Purpose of review: Puff Bars, a brand of disposable e-cigarettes, have skyrocketed in popularity recently, presenting significant health and safety risks to adolescents. Puff Bars and other disposable e-cigarette products are attractive to children and teenagers because of their vibrant colors and flavors, low cost, and ease of access. This review examines the rise in Puff Bar popularity, describes notable health and safety concerns, and provides advice for parents and pediatricians in identifying and preventing adolescent Puff Bar use.

Recent findings: Puff Bars have increased in popularity as their product design evaded strict regulations imposed on alternate e-cigarette products, such as Juul. In addition, Puff Bars' sweet and fruit flavors and marketing on social media have made their use pervasive among youth. Puff Bar use can lead to increased risk of e-cigarette product use-associated lung injury (EVALI) and potential exposure to carcinogens. Furthermore, the developmental risks of nicotine use during adolescence include negative effects on cognitive function and detriments to short-term memory.

Summary: Puff Bars present a significant danger to adolescents, and it is imperative that parents and pediatricians are aware of the health risks involved with vaping. Pediatricians should explore e-cigarette use during patient visits, and parents must communicate these dangers to their children and be able to identify these products to regulate their use.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Electronic Nicotine Delivery Systems*
  • Humans
  • Lung Injury*
  • Nicotine
  • Tobacco Products*
  • Vaping* / adverse effects


  • Nicotine