NCT07830524|Not Yet Recruiting
Preoperative Smoke Check and Surgical Smoke Evacuation Compliance
The Effect of a Preoperative Smoke Check Practice on Compliance With Surgical Smoke Evacuation
Loading search results
The Effect of a Preoperative Smoke Check Practice on Compliance With Surgical Smoke Evacuation
Sponsor study identifier
observational
300
1 country
1
Study Start
October 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Primary Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
This single-center, prospective before-after (quasi-experimental) study evaluates whether a brief preoperative "Smoke Check" practice improves compliance with surgical smoke evacuation during smoke-generating surgical procedures. The Smoke Check consists of two short safety questions asked by the circulating nurse before a procedure begins: (1) Is surgical smoke expected to be generated during this procedure? and (2) If yes, is an appropriate smoke evacuation system ready for use? The study first observes current practice during a Baseline period without changing existing workflow, and then introduces the Smoke Check into the circulating nurses' preoperative routine during a second (Post-Smoke Check) period, comparing the proportion of smoke-generating procedures with appropriate smoke evacuation use between the two periods. The unit of observation is the surgical procedure, not the patient or staff member, and no patient- or staff-identifying information is collected. The study is grounded in the Association of periOperative Registered Nurses (AORN) Guideline for Surgical Smoke Safety and does not involve any drug, device, or licensed psychometric instrument.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 15, 2026
Actual (reported)September 21, 2026
Actual (reported)October 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Proportion of Smoke-Generating Procedures with Appropriate Smoke Evacuation
Percentage of observed surgical procedures using an energy-based device (electrosurgery, laser, or ultrasonic device) in which surgical smoke evacuation equipment is used appropriately, as documented on the Surgical Smoke Compliance Observation Form, compared between the Baseline Period and the Post-Smoke Check Period.
Assessed for each eligible procedure at the time of the procedure, over the approximately 8-week data collection period (approximately 4 weeks Baseline Period and approximately 4 weeks Post-Smoke Check Period, October-December 2026)
Readiness of Smoke Evacuation System Before Procedure Start
Assessed at the time of each eligible procedure, over the ~8-week data collection period (October-December 2026)
Appropriate Positioning of the Smoke Evacuation Capture Device
Assessed at the time of each eligible procedure, over the ~8-week data collection period (October-December 2026)
Continuity of Smoke Evacuation Use Throughout the Procedure
Assessed at the time of each eligible procedure, over the ~8-week data collection period (October-December 2026)
Smoke-generating surgical procedures observed during the Baseline period (approximately 4 weeks), before the preoperative Smoke Check is introduced. Current smoke-evacuation practice is observed without any change to the existing workflow using the Surgical Smoke Compliance Observation Form. No intervention is applied to this group.
Smoke-generating surgical procedures observed during the second, approximately 4-week study period, after the preoperative Smoke Check has been introduced into the circulating nurses' preoperative workflow. In this period, the circulating nurse asks two short safety questions before the procedure begins: (1) "Is surgical smoke expected to be generated during this procedure?" and (2) "If yes, is an appropriate smoke evacuation system ready for use?" The same Surgical Smoke Compliance Observation Form used in the Baseline period is used to assess smoke evacuation practice, and a Smoke Check Application Form records completion of the Smoke Check.
A brief, standardized preoperative safety check performed by the circulating nurse before a procedure begins, consisting of two short questions: (1) "Is surgical smoke expected to be generated during this procedure?" and (2) "If yes, is an appropriate smoke evacuation system ready for use?" The Smoke Check does not add any new drug, device, or equipment; it is a workflow/practice-change integrated into the existing preoperative routine, based on the AORN Guideline for Surgical Smoke Safety, and is applied only during the Post-Smoke Check study period.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Surgical procedures performed at Agri Training and Research Hospital involving use of an energy-based device (electrosurgery, laser, or ultrasonic device) with observable surgical smoke generation. Procedures are evaluated during a Baseline Period (no intervention) and a subsequent Post-Smoke Check Period (Preoperative Smoke Check practice applied), rather than being defined by individual patient characteristics.
Agri Training and Research Hospital
Ağrı, Turkey (Türkiye)
Surgical smoke knowledge and practices before and after onset of COVID-19. Perioperative Care and Operating Room Management. 2024;35:100411. doi:10.1016/j.pcorm.2024.100411
Dennis V. Needed Practice Change: Surgical Smoke Evacuation. AORN J. 2022 Aug;116(2):103-105. doi: 10.1002/aorn.13756. No abstract available.
Williams K. Guidelines in Practice: Surgical Smoke Safety. AORN J. 2022 Aug;116(2):145-159. doi: 10.1002/aorn.13745.
Volkan Gokmen, PhD
Agri Ibrahim Cecen University
First Submitted
September 15, 2026
First Posted
September 21, 2026
Study Start
October 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Primary Completion
December 2026
Contact the study team to confirm eligibility.
Ostapovych U, Vortman R. Implementing a Surgical Smoke Evacuation Policy and Procedure: A Quality Improvement Project. AORN J. 2022 Feb;115(2):139-146. doi: 10.1002/aorn.13603.
AORN Center of Excellence. Smoke Evacuation Resource Center: Compliance Audit Monitoring Tool. 2026.
Association of periOperative Registered Nurses (AORN). Guideline for Surgical Smoke Safety. AORN Guidelines for Perioperative Practice. 2026.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
December 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
September 21, 2026
Record last verified: 2026-09
No patient- or staff-identifying data are collected; observations are recorded using procedure-level research codes only. Given the observational, single-center nature of the study and the absence of individual participant identifiers, there is no individual participant dataset intended for external sharing at this time.
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.
Source retrieved: