Cardiac arrest & resuscitation

Reduction of Afterdrop by Using Active External Warming During Treatment of Accidental Hypothermia—A Randomized, Crossover Trial

Acta Anaesthesiol ScandPublished Randomised crossover trial

Authors' conclusion

Adding active external warming reduces afterdrop compared with using only passive external warming measures in non-shivering individuals.

Study context

Population
Healthy volunteers with induced hypothermia (pharmacological inhibition of thermoregulation, −2°C ice tunnel, wet clothes, up to 2 h or oesophageal temperature 35°C)
Participants
11 healthy volunteers
Comparison
Active external warming vs passive warming measures
Primary endpoint
Afterdrop (oesophageal temperature drop)
Follow-up
10 min after end of rewarming phase
Methodological detailsfield study, experimental hypothermia
  • Field study
  • Experimental hypothermia

Primary result

As reported in the abstract

Afterdrop · 10 min after end of rewarming

Further findings

Temperature course

Most had a small drop during wrapping, then a larger afterdrop walking out of the ice tunnel

Original publication

Reduction of Afterdrop by Using Active External Warming During Treatment of Accidental Hypothermia—A Randomized, Crossover Trial. Acta Anaesthesiol Scand. Published December 2025. doi:10.1111/aas.70162

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