Brookhaven Memorial Hospital Medical Center

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Wound Care / Hyperbaric Medicine

The Center for Wound Care and Hyperbaric Medicine is an outpatient facility that provides medical treatment of chronic non-healing wounds. 
The Center's Web-based monitoring program tracks the progress of individual wounds through measurements and photographs specific to the treated area. Such thorough monitoring assists in promoting effective and clinically proven wound healing outcomes. 
Our multi-disciplinary team of experts has advanced training in wound care for patients suffering from chronic, non-healing wounds. They can discover the barriers to healing that can improve quality of life for the patient. After completing the evaluation, a treatment plan will be developed which may include follow-up visits at the clinic and coordinate with home health services as needed. 
Examples of wounds that can be treated at the Center include: 
  • Diabetic, Ischemic, Pressure and Neuropathic ulcers 
  • Surgical wounds 
  • Wounds caused by infections 
  • Traumatic wounds 
  • Wounds due to circulatory problems 
  • Wounds due to autoimmune disorders 
In addition, we coordinate referrals to specialists in vascular, plastic and general surgery. We also arrange for evaluation by specialists in diabetic education, nutrition and social work to ensure a complete approach to healing. At the Center for Wound Care and Hyperbaric Medicine, we are absolutely committed to the best clinical practice in wound care. We continually update our knowledge base and wound care practice, as a tremendous amount of research in the latest, most successful methods of wound care is released each day. 
Wound Care
A surprising number of people require wound care at some point in their lives. A minimum of 15 percent of patients with diabetes experience a chronic, non-healing wound, while non-diabetics may experience a non-healing wound for reasons such as radiation therapy, trauma or other causes. The Center for Wound Care and Hyperbaric Medicine incorporates a comprehensive treatment approach for a variety of wounds that include: 
  • Bone necrosis 
  • Brown recluse spider bites 
  • Chronic, non-healing wounds 
  • Compromised skin grafts and flaps 
  • Crush injuries 
  • Decubitus ulcers (pressure sores/bedsores) 
  • Diabetic foot or leg ulcers 
  • Gangrene 
  • Ischemic wounds (no blood supply) 
  • Osteomyelitis 
  • Ostomy-related skin problems and wounds 
  • Other diabetic wounds 
  • Peripheral vascular disease and circulatory-related wounds 
  • Radionecrosis (tissue damage due to radiation therapy) 
  • Refractory osteomyelitis (recurrent bone infection) 
  • Soft tissue necrosis (tissue death) 
Hyperbaric Oxygen Therapy
Hyperbaric oxygen therapy (HBOT) is a medical treatment where 100 percent oxygen is administered at a controlled pressure (greater than sea level) for a prescribed amount of time (usually 60 to 90 minutes). A typical treatment plan involves one treatment per day, five days per week, over an approximate five-week period. 
The air we normally breathe contains 21 percent oxygen, 78 percent nitrogen, and one percent carbon dioxide and other gasses. Increasing the pressure of air we breathe through the administration of HBOT has the effect of dramatically increasing the number of oxygen molecules entering the bloodstream, up to 2000 percent. This increase in oxygen delivery under controlled pressure means that oxygen can reach bone and tissue that is normally inaccessible to red blood cells.
HBOT affects the body in other ways, for example, it enhances the function of white blood cells. This is important because increasing the efficiency of white blood cells through the use of HBOT results in a positive effect on the immune system and peripheral blood vessels, and increases the formation of new capillaries. Such formations effectively increase blood flow to the body's extremities. 
We use HBOT to treat a variety of conditions including: 
  • Problem wounds 
  • Crush injuries 
  • Gas gangrene 
  • Necrotizing soft tissue infections 
  • Osteomyelitis 
  • Radiation tissue damage 
  • Skin grafts and flaps 
  • Brown recluse spider bites 
  • Diabetic wounds of the lower extremities 
What to Expect
Once a patient is comfortably settled in one of our monoplace (one-person) chambers, the pressure will be increased. During decent (time when pressure is increasing), the patient will experience an increase in temperature and pressure in their ears (similar to the pressure when flying). Once at treatment depth, they will remain there for a prescribed amount of time. The chambers are constructed of acrylic, allowing a clear view inside and outside of the chamber. During treatment, patients may watch TV or sleep, making their experience a comfortable one. Patients will not feel the effects of the pressure. There is no change in the way it feels to breathe or perform any other normal function. 
Safety Precautions
For safety reasons, there are a few things not allowed inside the chamber. When you come to the center for your treatments, please do not wear or bring the following items into the chambers: 
  • Makeup 
  • Perfume 
  • Aftershave 
  • Hairspray/hair oils 
  • Wigs/hair pieces 
  • Nail polish 
  • Alcohol or petroleum products 
  • Metallic items (jewelry and coins) 
  • Flammable or heat producing items 
  • Hearing aids 
  • Food, gum or candy 
Ask your hyperbaric medicine physician for advice on wearing contact lenses during treatment. You should refrain from smoking or the use of tobacco products over the entire course of therapy. 
Our Expert Staff
The Center for Wound Care and Hyperbaric Medicine is a state-of-the-art facility that is complemented by a highly trained staff of medical professionals. Our team of skilled nurses and experienced hyperbaric technicians are under the medical direction of physicians specialty-trained in wound care and hyperbaric medicine. Each team member has undergone extensive training in wound care, HBOT and chamber operations. Equally important to our training and expertise is our commitment to providing compassionate care and support to every one of our patients. 
During treatment, the patient will remain in the care of their primary physician, who will be kept informed of the plan of care provided through our program. 
Additional Information
The center is currently located at 33 Medford Avenue (Route 112), Suite D in Patchogue, New York 11772. The center can be reached at 631-687-4190 or by fax at 631-687-4199. 
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