Evidence based strategies to prevent ventilator associated pneumonia Vaping releases toxic chemicals, including heavy metals, as well as ultrafine particles that go deep into the lungs. These increase the risk of heart and lung disorders. Studies have shown that using vapes, no matter the substance, can lead to breathing problems and significantly harm the lungs. As a parent or caregiverwhat can you do? Talk to ZAP VAP: A Quality Improvement Initiative to Decrease Ventilator Associated Pneumonia in the Neonatal Intensive Care Unit, 2012 2016 Article NursingCenter Ventilator associated pneumonia (VAP) Market Report 2035 Vaping: Understanding the Risks and Impacts on Health