Wound Care

If you're one of the more than five million Americans suffering from a non-healing wound, we can help.

Our specialists work together to provide individualized treatment to speed your healing and help you recover faster.

At Hartford Hospital, our Wound Healing & Hyperbaric Center offers access to state-of-the-art outpatient clinical wound care and hyperbaric medicine. We specialize in advanced wound care, using a variety of treatments, therapies and support services to treat chronic wounds. We pride ourselves in a superior success rate for facilitating the healing process.

Emergent Hyperbaric Oxygen Therapy

Hartford Hospital is not an acute HBO center. Please contact the Divers’ Alert Network at 919.684.9111 to locate the closest 24 hour/7 day per week acute care HBO center.

Emergent hyperbaric oxygen therapy conditions might include:

  • Carbon Monoxide / Cyanide
  • Decompression Illness
  • Crush Injury, Compartment Syndrome and other Acute Traumatic Ischemias
  • Necrotizing Soft Tissue Infection

Is Wound Care Right for You?

If you have a wound that has not begun to heal within four weeks or is not completely healed in six weeks, you may benefit from our expert care. We treat several types of wounds including:

  • Diabetic ulcers
  • Neuropathic ulcers
  • Pressure ulcers
  • Ischemic ulcers
  • Venous insufficiency
  • Traumatic wounds
  • Surgical wounds
  • Vasculitis
  • Burns
  • Peristomal skin irritations
  • Other chronic, non-healing wounds

Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy (HBOT) is another specialized treatment that is appropriate for specific conditions. While resting in a chamber at greater-than-normal atmospheric pressure, patients breathe 100% oxygen, saturating their blood plasma and allowing it to carry from 15 to 20 times the normal amount of healing oxygen to the body’s tissues.

Wound care patients may require HBOT treatments provided by the Center’s physicians, who are specialty-trained in hyperbaric medicine, and our highly-trained clinical hyperbaric technicians and staff.

The following is a list of conditions for which HBOT may help:

  • Diabetic ulcer of the lower extremities
  • Soft tissue radionecrosis and osteoradionecrosis, occasionally developed after radiation therapy
  • Chronic refractory osteomyelitis
  • Compromised skin grafts and flaps
  • Actinomycosis

Frequently Asked Questions

Q: What is Hyperbaric Oxygen Therapy (HBOT) and why is it used to treat wounds?
A: Hyperbaric Oxygen Therapy (HBOT) is a medical treatment provided in an individual pressure chamber breathing 100% pure oxygen (O2) at greater than one atmosphere pressure at sea level. Air contains nearly 21% oxygen, and approximately 78% nitrogen. In hyperbaric oxygen therapy (HBO), the oxygen percentage is nearly or actually 100%, almost five times more than in air. The pressure of the oxygen in a hyperbaric oxygen chamber is usually more than 1.5 times (and can be as much as 3 times) greater than atmospheric pressure at sea level. HBOT can deliver nearly 15 times as much oxygen as there is in air at normal pressure.

Q: Is HBOT therapy reimbursed by insurance?
A: HTherapy is often covered by insurance. Coverage depends on the diagnosis and the specific insurance plan. Pre-authorization may be required. Please check with your individual insurance plan.

Q: How is a hyperbaric treatment administered?
A: Hyperbaric oxygen therapy is administered in an individual pressurized chamber. You lie down on a stretcher which slides into the chamber. The chamber is pressurized with 100% oxygen, which you would breathe in normally. An attendant is present and communicating with you throughout the entire therapy.

Q: How long is a hyperbaric treatment?
A: Treatment sessions are approximately two hours long. Treatments are administered on an outpatient basis.

Q: How many treatments are needed?
A: Your individual diagnosis and clinical response dictate the number of treatments required. The usual range is 10 to 30-plus treatments.

Q: What does a hyperbaric treatment feel like?
A: Generally, you will not feel differently. However, during certain parts of the treatment, you may experience a sensation of fullness in the ears, similar to the feeling experienced on an airplane. This is a result of the eardrum responding to pressure changes. Prior to treatment, you will be taught a few easy methods to "clear" your ears to avoid any discomfort.

Q: How do you prepare for a hyperbaric treatment?
A: You must wear 100% cotton garments, provided by the Center. Personal items and skin care products are not allowed in the hyperbaric chamber. This is reviewed with you prior to each treatment session.

Q: What are the possible side effects of a hyperbaric treatment?
A: The most common side-effects are minimal. These include:

  • Claustrophobia
  • Ear popping
  • Temporary change in visual acuity
  • Less common side effects are discussed prior to treatment

Q: How does a physician prescribe HBOT?
A: All potential hyperbaric chamber patients must be evaluated by a physician trained in evaluation for and treatment with hyperbaric oxygen therapy prior to prescription for the therapy.

Q: Is physician supervision required?
A: Yes


Referrals & Transfers

The management of chronic non-healing wounds is a complicated and time-consuming process in which the Center wishes to be the facilitator for the private physician and patient.

To this end, the Center functions in a collaborative fashion with the primary care provider and/or referring physician and will see patients for a onetime consultation or for ongoing care until wound healing occurs. The center provides ready access to services, expertise, and updated information regarding wound care to provide timely wound closure for both physician and patient alike. If need be, and with the consent of the referring physician, patients can be readily referred to the sub-disciplines supporting the Center, including Orthopedic Surgery, Infectious Disease, Podiatric Surgery, Plastic Surgery, Vascular Surgery and Rehabilitation Medicine. The Center also provides active resources for physician and patient education as well as on-going research designed to improve patient care.

Make a Referral


Meet Our Wound Care Specialists:

Name Specialties Location
Bass, David Martin, MD
860.247.3479
  • Plastic & Reconstructive Surgery
  • Hand Surgery
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  • Hartford
  • Avon
  • Glastonbury
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Case, Sara Ann, MD, FACS, CWSP
860.972.1153
  • General Surgery
  • Hyperbaric Medicine
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  • Hartford
Nugent, James Fletcher, DPM
860.223.0800
  • Podiatry
  • Plainville
  • Hartford
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Sarma, Akella S., MD
860.972.1153
  • General Surgery
  • Hyperbaric Medicine
  • Vascular Surgery
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  • Hartford

Contact Wound Healing & Hyperbaric Center