{"id":1415,"date":"2023-07-17T20:44:15","date_gmt":"2023-07-17T18:44:15","guid":{"rendered":"https:\/\/andreaskalcker.com\/protocolos-medicos\/"},"modified":"2024-03-15T17:06:46","modified_gmt":"2024-03-15T16:06:46","slug":"medical-protocols","status":"publish","type":"page","link":"https:\/\/andreaskalcker.com\/en\/medical-protocols\/","title":{"rendered":"Medical protocols"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1415\" class=\"elementor elementor-1415 elementor-103\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72bed0a6 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"72bed0a6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_motion_fx_mouse&quot;:&quot;yes&quot;,&quot;background_motion_fx_mouseTrack_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;background_motion_fx_mouseTrack_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]}}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4877c915\" data-id=\"4877c915\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ddb6135 elementor-widget elementor-widget-heading\" data-id=\"3ddb6135\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Medical protocols<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f7f52e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"3f7f52e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d484937\" data-id=\"d484937\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c34a25 elementor-widget elementor-widget-text-editor\" data-id=\"3c34a25\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Protocol soon available.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-26c326ab elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"26c326ab\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ad582b3\" data-id=\"ad582b3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-54a65341 elementor-widget elementor-widget-text-editor\" data-id=\"54a65341\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Protocol Y<\/h4><p>CDI injection Intravenous chlorine dioxide (<b>only for physicians<\/b> under Helsinki WMA Article 37)<\/p><p>\u00a0<\/p><p><b>Standard dose: 5 ml of CDS (0.3% = 3000 ppm) per 500 ml of 0.9% NaCl.<\/b><\/p><p>\u00a0<\/p><p>This type of treatment is strictly reserved for professional physicians in the investigative health sector. The patient must have <b>signed a prior consent<\/b> to comply with the regulations of \u00a7 37 of the Helsinki Protocol (AMA).<\/p><p>\u00a0<\/p><h6>\u00a0<b>CDI<\/b> = 0.9% NaCl 0.9% saline + chlorine dioxide (preferably by <b>electrolisis and microfiltered <\/b>) in aqueous solution.<\/h6><p><b>It is not used intramuscularly.<\/b>\u00a0<\/p><p>\u00a0<\/p><p>The goal is to achieve sufficient saturation, since CDS is consumed within two hours without leaving measurable residues as it decomposes in a short time to common salt and oxygen. Intravenous use is mainly indicated for <b>acute cases of hypoxia, sepsis and histamine reactions<\/b>. For chronic disease, protocols C and E are primarily applied first, and the intravenous route can be used as a adicional stimulus to reach deeper tissue.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c24f488 elementor-widget elementor-widget-text-editor\" data-id=\"c24f488\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>A. Subcutaneous use:<\/h4><p>A simple way to address local problems is by subcutaneous injection of papules. The protocol consists of injecting several subcutaneous papules with a concentration of <b>50 ppm<\/b> (=0.005%) and pH 7.6 in a volume of 2-5 ml of chlorine dioxide solution (CDI) near the affected area. As a gas dissolved in water, it is easily distributed in the affected area. It can be repeated if necessary.<\/p><p>\u00a0<\/p><p>Note: If the pH is below 7.4, a burning sensation might be experienced. Therefore, it is compensated by tamponade with an 8% bicarbonate solution, adding approximately 1-2 ml to a 0.9% NaCl saline bag. Subsequently, the pH is checked with a calibrated digital meter.<\/p><p>\u00a0<\/p><p><b>Emergency Tip:<\/b> If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the tear duct and blinking a little. The solution should be pleasant, like an eye drop. Otherwise, it may be too concentrated or have a low pH.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0759151 elementor-widget elementor-widget-text-editor\" data-id=\"0759151\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>B. Intravenous use:<\/h4><p>The patient should have followed an oral C or rectal E protocol at least 7 days before starting this therapeutic approach (with exceptions, such as in acute cases) for best results and to ensure adequate saturation.<\/p><p>\u00a0<\/p><p>Catheterization is performed by placing peripheral lines with intravenous catheter (~18 or 20 gauge), changing arms at each infusion, and the number of infusions is decided according to the patient&#8217;s condition.\u00a0<span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">Perform venous puncture gently avoiding hematomas.<\/span><\/p><p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">\u00a0<\/span><\/p><p>Optionally and as recommended, venous blood gas analysis can be performed before and after to determine the patient&#8217;s pH,\u00a0<span style=\"font-size: 12pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\">pCO<\/span><span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">2<\/span><\/span>,\u00a0<span style=\"font-size: 12pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\">pO<\/span><span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">2<\/span><\/span>, BEecf, LAC and CREA and to determine the efficacy of the dose.\u00a0<span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">Based on the patient&#8217;s plasma ionogram, environment, personal history and medical history, the use of physiologic solution <\/span><b style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">without dextrose<\/b><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"> is determined based on availability. It is advisable to use isotonic NaCl (0.9%) or <\/span><b style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">lactate-free<\/b><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\"> Ringer&#8217;s solution.<\/span><\/p><p>\u00a0<\/p><p>Add 1 to 2 ml of concentrated CDS (0.3% = 3000 ppm) per 100 ml of isotonic NaCl (0.9%) saline.<br \/><br \/><\/p><p><b>The standard dose is determined as 5 ml of Chlorine Dioxide Electrolyte (CDE) at 3000 ppm in 500 ml of saline solution over a 5-hour period<\/b> as needed. The dose may be doubled, but should be administered more slowly to avoid burning sensation. In emergency cases, standard CDS can also be used. Electrolyte CDS is simply purer and does not contain any traces. To administer higher doses, the subclavicular route is used.<br \/><br \/><\/p><p>\u00a0<\/p><p>The pH of the infusion bag with the included solutions (CDE + saline) should preferably be <b>pH 7.6<\/b>, digitally measured and calibrated. To correct and reach the indicated pH range in case it is lower, it should be compensated with an 8% bicarbonate solution (<span style=\"font-size: 12pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\">HCO<\/span><span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">3<\/span><\/span>). Typically 1-2 ml is used for a 500 ml bag of NaCl(0.9%) saline solution. This small amount does not override or neutralize the\u00a0<span style=\"font-size: 12pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\">ClO<\/span><span style=\"font-size: 18pt; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; vertical-align: baseline; white-space-collapse: preserve;\"><span style=\"font-size: 0.6em; vertical-align: sub;\">2<\/span><\/span>\u00a0content and avoids irritation or burning sensation of the veins. If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the eye by blinking a little. The solution should be pleasant, like an eye drop. If it is not, this indicates that it is too concentrated or the pH is low.<br \/><br \/><\/p><p>\u00a0<\/p><p>The indicated oxygenating hydration with CDI is 500 ml to be administered over a period of &gt;2-5 hours. The contents in the bag should be at room temperature and <b>protected from direct sunlight (UV rays)<\/b> which would eliminate its efficacy.<br \/><br \/><\/p><p>\u00a0<\/p><p>A continuous infusion pump (CIP) can be used for a precise and timely drip if necessary for hospitalized patients who require constant infusion due to their severity. It can also be applied subclavically without problems.<br \/><br \/><\/p><p>\u00a0<\/p><p>A second venous blood gas analysis can be performed to record post-IV status for documentation.<\/p><p>Standard duration: 4 consecutive days in severe acute cases or 2 times per week in chronic cases and always accompanied by Protocol C20.<\/p><p>\u00a0<\/p><p>Adequate post-puncture compression is recommended to avoid bleeding.<br \/><br \/><\/p><p>Saturation can continue with oral and\/or rectal CDS two hours after IV application, Protocol C and\/or Protocol E.<\/p><p>In critically ill or intubated patients, it can be applied without prior oral dosing with a drip of 30 drops per minute with 10-15 ml of CDI (3000 ppm) in a 500 ml NaCl (0.9%) saline bag adjusted to pH 7.6 but preferably slow with administration between 6-8 hours.<br \/><br \/><\/p><p>In subsequent practices, vary the site of application at different locations to avoid irritation or burning.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69b5896 elementor-widget elementor-widget-text-editor\" data-id=\"69b5896\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>C. Surgical Use:<\/h4><p>For surgical use, various concentrations are used:<\/p><p><b>A.) <\/b>For disinfecting wounds, preventing adhesions, cancer surgery and osteomyelitis The use of a 300-400 ppm solution in NaCl (0.9%) saline is used to disinfect wounds, prevent adhesions, perform cancer surgery and treat osteomyelitis.<br \/><br \/><\/p><p>\u00a0<\/p><p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">This specific concentration of the solution has cleansing properties that promote 50% faster recovery without any infection in all known cases. In addition, its use has been observed to generate no reported toxic effects. An additional advantage of this solution is its ability to reduce scar formation or adhesions in surgeries. This is especially beneficial, as scars can be unsightly and limit the functionality of the affected area. By decreasing scar formation, this solution contributes to a better aesthetic appearance and a more complete healing process.<\/span><\/p><p><span style=\"color: var( --e-global-color-3a0c7dc ); background-color: var(--base-3);\">\u00a0<\/span><\/p><p>Another important aspect is the role this solution plays in stem cell differentiation and growth. By accelerating this vital process in the human body, a faster and more efficient recovery is stimulated due to optimum ORP Charges. This means that patients can experience significant improvement without the need for antibiotics or other medications.<br \/><br \/><\/p><p>\u00a0<\/p><p><b>B.)<\/b>To stop bleeding without clotting, To stop bleeding without clotting, a solution with a concentration between 500 and 1000 parts per million (ppm) can be used. An effective method is to apply moderate pressure with a CDS-saturated buffer over the affected area. This approach works because of\u00a0 natural vasospasm and has the advantage of not forming any blood clots, which avoids possible complications such as infection or sepsis. In addition, this treatment has been observed to accelerate the healing process by stimulating both, healing mitosis and the differentiation and activation of stem cells present in the damaged area.<br \/><br \/><\/p><p>In summary, the application of a concentrated solution of CDS disolved in NaCl saline solution\u00a0 (0.9%) definitely has multiple benefits in the treatment and care of wounds, making conventional disinfectants obsolete in surgery today. It does not cause pain when applied and disinfects without damaging cells, while maintaining an optimal electromolecular charge, thus avoiding scarring or necrosis. From its disinfectant capacity to its ability to reduce scarring and accelerate the recovery process, this solution is highly effective and safe for use in different medical procedures.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5fd9e3e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5fd9e3e0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-44bca303\" data-id=\"44bca303\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f193829 elementor-mobile-align-justify elementor-widget-mobile__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"2f193829\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"\/en\/publications-on-clo%e2%82%82\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-arrow-alt-circle-left\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 256c0 137 111 248 248 248s248-111 248-248S393 8 256 8 8 119 8 256zm448 0c0 110.5-89.5 200-200 200S56 366.5 56 256 145.5 56 256 56s200 89.5 200 200zm-72-20v40c0 6.6-5.4 12-12 12H256v67c0 10.7-12.9 16-20.5 8.5l-99-99c-4.7-4.7-4.7-12.3 0-17l99-99c7.6-7.6 20.5-2.2 20.5 8.5v67h116c6.6 0 12 5.4 12 12z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Publications on ClO\u2082<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4de476b7\" data-id=\"4de476b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-770474c2 elementor-mobile-align-justify elementor-widget-mobile__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"770474c2\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"\/en\/cds-chemistry\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-arrow-alt-circle-right\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256C504 119 393 8 256 8S8 119 8 256s111 248 248 248 248-111 248-248zm-448 0c0-110.5 89.5-200 200-200s200 89.5 200 200-89.5 200-200 200S56 366.5 56 256zm72 20v-40c0-6.6 5.4-12 12-12h116v-67c0-10.7 12.9-16 20.5-8.5l99 99c4.7 4.7 4.7 12.3 0 17l-99 99c-7.6 7.6-20.5 2.2-20.5-8.5v-67H140c-6.6 0-12-5.4-12-12z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">CDS chemistry<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Protocol soon available. Protocol Y CDI injection Intravenous chlorine dioxide (only for physicians under Helsinki WMA Article 37) \u00a0 Standard dose: 5 ml of CDS (0.3% = 3000 ppm) per 500 ml of 0.9% NaCl. \u00a0 This type of treatment is strictly reserved for professional physicians in the investigative health sector. The patient must have signed a prior consent to comply with the regulations of \u00a7 37 of the Helsinki Protocol (AMA). \u00a0 \u00a0CDI = 0.9% NaCl 0.9% saline + chlorine dioxide (preferably by electrolisis and microfiltered ) in aqueous solution. It is not used intramuscularly.\u00a0 \u00a0 The goal is to achieve sufficient saturation, since CDS is consumed within two hours without leaving measurable residues as it decomposes in a short time to common salt and oxygen. Intravenous use is mainly indicated for acute cases of hypoxia, sepsis and histamine reactions. For chronic disease, protocols C and E are primarily applied first, and the intravenous route can be used as a adicional stimulus to reach deeper tissue. A. Subcutaneous use: A simple way to address local problems is by subcutaneous injection of papules. The protocol consists of injecting several subcutaneous papules with a concentration of 50 ppm (=0.005%) and pH 7.6 in a volume of 2-5 ml of chlorine dioxide solution (CDI) near the affected area. As a gas dissolved in water, it is easily distributed in the affected area. It can be repeated if necessary. \u00a0 Note: If the pH is below 7.4, a burning sensation might be experienced. Therefore, it is compensated by tamponade with an 8% bicarbonate solution, adding approximately 1-2 ml to a 0.9% NaCl saline bag. Subsequently, the pH is checked with a calibrated digital meter. \u00a0 Emergency Tip: If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the tear duct and blinking a little. The solution should be pleasant, like an eye drop. Otherwise, it may be too concentrated or have a low pH. B. Intravenous use: The patient should have followed an oral C or rectal E protocol at least 7 days before starting this therapeutic approach (with exceptions, such as in acute cases) for best results and to ensure adequate saturation. \u00a0 Catheterization is performed by placing peripheral lines with intravenous catheter (~18 or 20 gauge), changing arms at each infusion, and the number of infusions is decided according to the patient&#8217;s condition.\u00a0Perform venous puncture gently avoiding hematomas. \u00a0 Optionally and as recommended, venous blood gas analysis can be performed before and after to determine the patient&#8217;s pH,\u00a0pCO2,\u00a0pO2, BEecf, LAC and CREA and to determine the efficacy of the dose.\u00a0Based on the patient&#8217;s plasma ionogram, environment, personal history and medical history, the use of physiologic solution without dextrose is determined based on availability. It is advisable to use isotonic NaCl (0.9%) or lactate-free Ringer&#8217;s solution. \u00a0 Add 1 to 2 ml of concentrated CDS (0.3% = 3000 ppm) per 100 ml of isotonic NaCl (0.9%) saline. The standard dose is determined as 5 ml of Chlorine Dioxide Electrolyte (CDE) at 3000 ppm in 500 ml of saline solution over a 5-hour period as needed. The dose may be doubled, but should be administered more slowly to avoid burning sensation. In emergency cases, standard CDS can also be used. Electrolyte CDS is simply purer and does not contain any traces. To administer higher doses, the subclavicular route is used. \u00a0 The pH of the infusion bag with the included solutions (CDE + saline) should preferably be pH 7.6, digitally measured and calibrated. To correct and reach the indicated pH range in case it is lower, it should be compensated with an 8% bicarbonate solution (HCO3). Typically 1-2 ml is used for a 500 ml bag of NaCl(0.9%) saline solution. This small amount does not override or neutralize the\u00a0ClO2\u00a0content and avoids irritation or burning sensation of the veins. If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the eye by blinking a little. The solution should be pleasant, like an eye drop. If it is not, this indicates that it is too concentrated or the pH is low. \u00a0 The indicated oxygenating hydration with CDI is 500 ml to be administered over a period of &gt;2-5 hours. The contents in the bag should be at room temperature and protected from direct sunlight (UV rays) which would eliminate its efficacy. \u00a0 A continuous infusion pump (CIP) can be used for a precise and timely drip if necessary for hospitalized patients who require constant infusion due to their severity. It can also be applied subclavically without problems. \u00a0 A second venous blood gas analysis can be performed to record post-IV status for documentation. Standard duration: 4 consecutive days in severe acute cases or 2 times per week in chronic cases and always accompanied by Protocol C20. \u00a0 Adequate post-puncture compression is recommended to avoid bleeding. Saturation can continue with oral and\/or rectal CDS two hours after IV application, Protocol C and\/or Protocol E. In critically ill or intubated patients, it can be applied without prior oral dosing with a drip of 30 drops per minute with 10-15 ml of CDI (3000 ppm) in a 500 ml NaCl (0.9%) saline bag adjusted to pH 7.6 but preferably slow with administration between 6-8 hours. In subsequent practices, vary the site of application at different locations to avoid irritation or burning. C. Surgical Use: For surgical use, various concentrations are used: A.) For disinfecting wounds, preventing adhesions, cancer surgery and osteomyelitis The use of a 300-400 ppm solution in NaCl (0.9%) saline is used to disinfect wounds, prevent adhesions, perform cancer surgery and treat osteomyelitis. \u00a0 This specific concentration of the solution has cleansing properties that promote 50% faster recovery without any infection in all known cases. In addition, its use has been observed to generate no reported toxic effects. An additional &#8230; <a title=\"Medical protocols\" class=\"read-more\" href=\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/\" aria-label=\"Read more about Medical protocols\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1415","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.2 (Yoast SEO v25.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Medical protocols - Andreas Kalcker<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Medical protocols\" \/>\n<meta property=\"og:description\" content=\"Protocol soon available. Protocol Y CDI injection Intravenous chlorine dioxide (only for physicians under Helsinki WMA Article 37) \u00a0 Standard dose: 5 ml of CDS (0.3% = 3000 ppm) per 500 ml of 0.9% NaCl. \u00a0 This type of treatment is strictly reserved for professional physicians in the investigative health sector. The patient must have signed a prior consent to comply with the regulations of \u00a7 37 of the Helsinki Protocol (AMA). \u00a0 \u00a0CDI = 0.9% NaCl 0.9% saline + chlorine dioxide (preferably by electrolisis and microfiltered ) in aqueous solution. It is not used intramuscularly.\u00a0 \u00a0 The goal is to achieve sufficient saturation, since CDS is consumed within two hours without leaving measurable residues as it decomposes in a short time to common salt and oxygen. Intravenous use is mainly indicated for acute cases of hypoxia, sepsis and histamine reactions. For chronic disease, protocols C and E are primarily applied first, and the intravenous route can be used as a adicional stimulus to reach deeper tissue. A. Subcutaneous use: A simple way to address local problems is by subcutaneous injection of papules. The protocol consists of injecting several subcutaneous papules with a concentration of 50 ppm (=0.005%) and pH 7.6 in a volume of 2-5 ml of chlorine dioxide solution (CDI) near the affected area. As a gas dissolved in water, it is easily distributed in the affected area. It can be repeated if necessary. \u00a0 Note: If the pH is below 7.4, a burning sensation might be experienced. Therefore, it is compensated by tamponade with an 8% bicarbonate solution, adding approximately 1-2 ml to a 0.9% NaCl saline bag. Subsequently, the pH is checked with a calibrated digital meter. \u00a0 Emergency Tip: If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the tear duct and blinking a little. The solution should be pleasant, like an eye drop. Otherwise, it may be too concentrated or have a low pH. B. Intravenous use: The patient should have followed an oral C or rectal E protocol at least 7 days before starting this therapeutic approach (with exceptions, such as in acute cases) for best results and to ensure adequate saturation. \u00a0 Catheterization is performed by placing peripheral lines with intravenous catheter (~18 or 20 gauge), changing arms at each infusion, and the number of infusions is decided according to the patient&#8217;s condition.\u00a0Perform venous puncture gently avoiding hematomas. \u00a0 Optionally and as recommended, venous blood gas analysis can be performed before and after to determine the patient&#8217;s pH,\u00a0pCO2,\u00a0pO2, BEecf, LAC and CREA and to determine the efficacy of the dose.\u00a0Based on the patient&#8217;s plasma ionogram, environment, personal history and medical history, the use of physiologic solution without dextrose is determined based on availability. It is advisable to use isotonic NaCl (0.9%) or lactate-free Ringer&#8217;s solution. \u00a0 Add 1 to 2 ml of concentrated CDS (0.3% = 3000 ppm) per 100 ml of isotonic NaCl (0.9%) saline. The standard dose is determined as 5 ml of Chlorine Dioxide Electrolyte (CDE) at 3000 ppm in 500 ml of saline solution over a 5-hour period as needed. The dose may be doubled, but should be administered more slowly to avoid burning sensation. In emergency cases, standard CDS can also be used. Electrolyte CDS is simply purer and does not contain any traces. To administer higher doses, the subclavicular route is used. \u00a0 The pH of the infusion bag with the included solutions (CDE + saline) should preferably be pH 7.6, digitally measured and calibrated. To correct and reach the indicated pH range in case it is lower, it should be compensated with an 8% bicarbonate solution (HCO3). Typically 1-2 ml is used for a 500 ml bag of NaCl(0.9%) saline solution. This small amount does not override or neutralize the\u00a0ClO2\u00a0content and avoids irritation or burning sensation of the veins. If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the eye by blinking a little. The solution should be pleasant, like an eye drop. If it is not, this indicates that it is too concentrated or the pH is low. \u00a0 The indicated oxygenating hydration with CDI is 500 ml to be administered over a period of &gt;2-5 hours. The contents in the bag should be at room temperature and protected from direct sunlight (UV rays) which would eliminate its efficacy. \u00a0 A continuous infusion pump (CIP) can be used for a precise and timely drip if necessary for hospitalized patients who require constant infusion due to their severity. It can also be applied subclavically without problems. \u00a0 A second venous blood gas analysis can be performed to record post-IV status for documentation. Standard duration: 4 consecutive days in severe acute cases or 2 times per week in chronic cases and always accompanied by Protocol C20. \u00a0 Adequate post-puncture compression is recommended to avoid bleeding. Saturation can continue with oral and\/or rectal CDS two hours after IV application, Protocol C and\/or Protocol E. In critically ill or intubated patients, it can be applied without prior oral dosing with a drip of 30 drops per minute with 10-15 ml of CDI (3000 ppm) in a 500 ml NaCl (0.9%) saline bag adjusted to pH 7.6 but preferably slow with administration between 6-8 hours. In subsequent practices, vary the site of application at different locations to avoid irritation or burning. C. Surgical Use: For surgical use, various concentrations are used: A.) For disinfecting wounds, preventing adhesions, cancer surgery and osteomyelitis The use of a 300-400 ppm solution in NaCl (0.9%) saline is used to disinfect wounds, prevent adhesions, perform cancer surgery and treat osteomyelitis. \u00a0 This specific concentration of the solution has cleansing properties that promote 50% faster recovery without any infection in all known cases. In addition, its use has been observed to generate no reported toxic effects. An additional ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/\" \/>\n<meta property=\"og:site_name\" content=\"Andreas Kalcker\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-15T16:06:46+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/\",\"url\":\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/\",\"name\":\"Medical protocols - Andreas Kalcker\",\"isPartOf\":{\"@id\":\"https:\/\/andreaskalcker.com\/#website\"},\"datePublished\":\"2023-07-17T18:44:15+00:00\",\"dateModified\":\"2024-03-15T16:06:46+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/andreaskalcker.com\/en\/medical-protocols\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/andreaskalcker.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Medical protocols\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/andreaskalcker.com\/#website\",\"url\":\"https:\/\/andreaskalcker.com\/\",\"name\":\"Andreas Kalcker\",\"description\":\"Official website\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/andreaskalcker.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Medical protocols - Andreas Kalcker","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/andreaskalcker.com\/en\/medical-protocols\/","og_locale":"en_US","og_type":"article","og_title":"Medical protocols","og_description":"Protocol soon available. Protocol Y CDI injection Intravenous chlorine dioxide (only for physicians under Helsinki WMA Article 37) \u00a0 Standard dose: 5 ml of CDS (0.3% = 3000 ppm) per 500 ml of 0.9% NaCl. \u00a0 This type of treatment is strictly reserved for professional physicians in the investigative health sector. The patient must have signed a prior consent to comply with the regulations of \u00a7 37 of the Helsinki Protocol (AMA). \u00a0 \u00a0CDI = 0.9% NaCl 0.9% saline + chlorine dioxide (preferably by electrolisis and microfiltered ) in aqueous solution. It is not used intramuscularly.\u00a0 \u00a0 The goal is to achieve sufficient saturation, since CDS is consumed within two hours without leaving measurable residues as it decomposes in a short time to common salt and oxygen. Intravenous use is mainly indicated for acute cases of hypoxia, sepsis and histamine reactions. For chronic disease, protocols C and E are primarily applied first, and the intravenous route can be used as a adicional stimulus to reach deeper tissue. A. Subcutaneous use: A simple way to address local problems is by subcutaneous injection of papules. The protocol consists of injecting several subcutaneous papules with a concentration of 50 ppm (=0.005%) and pH 7.6 in a volume of 2-5 ml of chlorine dioxide solution (CDI) near the affected area. As a gas dissolved in water, it is easily distributed in the affected area. It can be repeated if necessary. \u00a0 Note: If the pH is below 7.4, a burning sensation might be experienced. Therefore, it is compensated by tamponade with an 8% bicarbonate solution, adding approximately 1-2 ml to a 0.9% NaCl saline bag. Subsequently, the pH is checked with a calibrated digital meter. \u00a0 Emergency Tip: If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the tear duct and blinking a little. The solution should be pleasant, like an eye drop. Otherwise, it may be too concentrated or have a low pH. B. Intravenous use: The patient should have followed an oral C or rectal E protocol at least 7 days before starting this therapeutic approach (with exceptions, such as in acute cases) for best results and to ensure adequate saturation. \u00a0 Catheterization is performed by placing peripheral lines with intravenous catheter (~18 or 20 gauge), changing arms at each infusion, and the number of infusions is decided according to the patient&#8217;s condition.\u00a0Perform venous puncture gently avoiding hematomas. \u00a0 Optionally and as recommended, venous blood gas analysis can be performed before and after to determine the patient&#8217;s pH,\u00a0pCO2,\u00a0pO2, BEecf, LAC and CREA and to determine the efficacy of the dose.\u00a0Based on the patient&#8217;s plasma ionogram, environment, personal history and medical history, the use of physiologic solution without dextrose is determined based on availability. It is advisable to use isotonic NaCl (0.9%) or lactate-free Ringer&#8217;s solution. \u00a0 Add 1 to 2 ml of concentrated CDS (0.3% = 3000 ppm) per 100 ml of isotonic NaCl (0.9%) saline. The standard dose is determined as 5 ml of Chlorine Dioxide Electrolyte (CDE) at 3000 ppm in 500 ml of saline solution over a 5-hour period as needed. The dose may be doubled, but should be administered more slowly to avoid burning sensation. In emergency cases, standard CDS can also be used. Electrolyte CDS is simply purer and does not contain any traces. To administer higher doses, the subclavicular route is used. \u00a0 The pH of the infusion bag with the included solutions (CDE + saline) should preferably be pH 7.6, digitally measured and calibrated. To correct and reach the indicated pH range in case it is lower, it should be compensated with an 8% bicarbonate solution (HCO3). Typically 1-2 ml is used for a 500 ml bag of NaCl(0.9%) saline solution. This small amount does not override or neutralize the\u00a0ClO2\u00a0content and avoids irritation or burning sensation of the veins. If a pH meter is not available, the pH can be checked before injecting by placing a few drops of the CDI (saline with prepared CDS) in the eye by blinking a little. The solution should be pleasant, like an eye drop. If it is not, this indicates that it is too concentrated or the pH is low. \u00a0 The indicated oxygenating hydration with CDI is 500 ml to be administered over a period of &gt;2-5 hours. The contents in the bag should be at room temperature and protected from direct sunlight (UV rays) which would eliminate its efficacy. \u00a0 A continuous infusion pump (CIP) can be used for a precise and timely drip if necessary for hospitalized patients who require constant infusion due to their severity. It can also be applied subclavically without problems. \u00a0 A second venous blood gas analysis can be performed to record post-IV status for documentation. Standard duration: 4 consecutive days in severe acute cases or 2 times per week in chronic cases and always accompanied by Protocol C20. \u00a0 Adequate post-puncture compression is recommended to avoid bleeding. Saturation can continue with oral and\/or rectal CDS two hours after IV application, Protocol C and\/or Protocol E. In critically ill or intubated patients, it can be applied without prior oral dosing with a drip of 30 drops per minute with 10-15 ml of CDI (3000 ppm) in a 500 ml NaCl (0.9%) saline bag adjusted to pH 7.6 but preferably slow with administration between 6-8 hours. In subsequent practices, vary the site of application at different locations to avoid irritation or burning. C. Surgical Use: For surgical use, various concentrations are used: A.) For disinfecting wounds, preventing adhesions, cancer surgery and osteomyelitis The use of a 300-400 ppm solution in NaCl (0.9%) saline is used to disinfect wounds, prevent adhesions, perform cancer surgery and treat osteomyelitis. \u00a0 This specific concentration of the solution has cleansing properties that promote 50% faster recovery without any infection in all known cases. In addition, its use has been observed to generate no reported toxic effects. An additional ... 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