The CHRISTUS Santa Rosa Wound Care and Hyperbaric Centers employ a multidisciplinary team of professionals, providing the most advanced, state-of-the-art treatment currently available for chronic non-healing wounds. The Centers utilize advanced treatment techniques such as Hyperbaric Oxygen Therapy, artificial skin applications, and aggressive wound care strategies with the goal of preventing amputations and restoring patients to the full quality of life they experienced before the onset of non-healing wounds.
Below is a non-exhaustive list of common injuries for which patients may be referred to CHRISTUS Santa Rosa Wound Care and Hyperbaric Centers:
Our goal is to restore a patient's quality of life through individualized treatment plans as well as to offer education to patients and their families. Our elite team of highly trained specialists are dedicated to saving limbs at risk of amputation. Through a comprehensive approach, our limb salvage team can prevent four out of five amputations. This does more than save a limb; it restores a patient's quality of life.
Learn more about Limb Salvage at CHRISTUS Santa Rosa Health System by calling 1.855.728.3534 or 210.704.8729.
We take most insurance plans and can treat the same day or within 24 hours.
Hyperbaric Oxygen Therapy (HBO) is a medical treatment that involves administering 100 percent oxygen to patients in an environment of increased atmospheric pressure, known as a hyperbaric chamber. The process increases oxygen level in both blood and tissue to promote healing.
Hyperbaric medicine utilizes chambers that can operate at up to three atmospheres of pressure. The chambers consist of clear acrylic and not only allow the patient a full view outside (for watching television), but also allow the staff to perform physiologic monitoring and support for critically ill patients.
Phases of Treatment
After the patient is settled in the chamber, compression takes place from five to ten minutes. Oxygen can be heard coming into the chamber, and there is a slight increase in temperature. The patient will feel an increase of pressure in the ears similar to that experienced during the landing of an airplane. During this phase and throughout the treatment, the staff can assist with relieving the ear pressure similar to swallowing or yawning to clear ears.
Prescribed Time at Pressure
Individual treatment plans are prescribed specifically for each patient and are determined by the diagnosis, goal of treatment, and recommended protocols. Normally, patients receive pure oxygen for about two hours. This time can be spent sleeping or watching television and movies.
As pressure is decreased in the chamber, the temperature drops slightly. Symptoms are minimal during this phase, with most patients experiencing a soft popping in the ears, as their ears clear automatically.
Preparing for Hyperbaric Oxygen Treatment
Before starting your therapy, please review the following:
CHRISTUS Santa Rosa Hospital - Medical Center
CHRISTUS Santa Rosa Hospital - New Braunfels
CHRISTUS Santa Rosa Hospital - Westover Hills
Ricardo C. Aguilar, Jr., M.D. C.W.S.
Downtown Medical Director
Dr. Aguilar received his Bachelor of Science and Medical Degrees from the University of Texas Medical Branch at Galveston. He completed his Family Practice Residency as Co-Chief in 2001 with CHRISTUS Santa Rosa and brings with him over 10 years of experience.
Dr. Aguilar is Board Certified in Family Medicine. He is a member of the American Academy of Family Physicians and Texas Academy of Family Physicians. He received his certification as a Certified Wound Specialist in 2011.
In his spare time he loves spending time with his family. He enjoys the outdoors, running, swimming, and bicycling. He is a native to South Texas and is fluent in Spanish.
Robert Donovan Butter, M.D.
Westover Hills Medical Director
Dr. Butter received his Bachelor of Science with honors from Texas State University and Doctorate degree from North Texas State University Health Science Center at Fort Worth. He completed his internship at Corpus Christi Osteopathic Hospital in 1987 with post graduate training at Brook Army Medical Center and Driscoll Children’s Hospital.
Dr. Butter is board certified in family medicine and emergency medicine as well as undersea and hyperbaric medicine. He has practiced emergency medicine for 25 years, hyperbaric and wound care medicine for the past 15 years and is currently the medical director at Christus Santa Rosa Westover Hills Wound Care Center and the chief of Hyperbaric Medicine as well as chairman of the Limb Salvage Committee.
Dr. Butter has previously served as Adjunct Assistant Professor at UT Health Science Center San Antonio as well as chairman of the Texas EMS Advisory Council to the Texas Dept. of Health, and is a member of numerous professional and specialty organizations. He has been an EMS medical director in the San Antonio area for 25 years.
Dr. Butter is a fifth generation Texan and enjoys spending time with his family, travel, and supports several historical and cultural organizations.
Marcus L. Gitterle, M.D.
NewBraunfels Medical Director
Dr. Gitterle is a graduate of the University of Texas Medical School at San Antonio. He is Board Certified in Emergency Medicine (BCEM of the American Academy of Physician Specialties). Dr. Gitterle began providing hyperbaric medicine and advanced wound healing services to New Braunfels area patients in 1998.
A champion of amputation prevention practices and diabetic foot care, Dr. Gitterle founded the Leg Savers program in New Braunfels in 2010. The program has since become a region-wide effort to prevent amputations in diabetic patients with lower extremity wounds.
Dr. Gitterle strives to make patients feel like they are family, and keep them informed about their medical conditions, as well as options, and therapeutic goals. Believing that an informed patient is more likely to comply with the plan of care, and thus more likely to heal, Dr. Gitterle spends extra time educating and informing to assure the highest possible level of compliance.
In addition to serving as Chairman of the Limb Salvage Committee at Christus Santa Rosa New Braunfels, Dr. Gitterle chairs the Infection Control Committee, which is dedicated to assuring best practices in infection prevention and control. He also serves as a member of the hospital co-management committee on provider and community education, which is focused on increasing educational outreach for patients and doctors of Christus Santa Rosa hospital.