Can E Cigarette use be Beneficial to Patients with COPD? Red Vape E cigarette or Vaping Use Associated Lung Injury (EVALI) American Lung Association Smoking and vaping are often compared, but neither is harmless. While they work differently, both can expose the lungs to addictive nicotine and harmful chemicals that impact breathing and overall health. Smoking The Long term Effects of Vaping on Pulmonary Function RT