Article Text

Download PDFPDF
Burn injury from filling balloons with nitrous oxide
  1. Matthew James Stone,
  2. Natalie Megan Roberts and
  3. Mohammad Umair Anwar
  1. Department of Burns and Plastic Surgery, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK
  1. Correspondence to Matthew James Stone; matthew.stone{at}


We present the case of a female teenager who sustained nitrous oxide burns to the medial aspect of both thighs from contact with a nitrous oxide canister being used to fill balloons. There was a delay in presentation as the injury was not initially recognised. These burns were initially assessed as being superficial partial-thickness burns but took a prolonged time to heal despite regular wound care. This was complicated by a lack of adherence to recommended treatment for much of the patient care as well as the patient testing positive for COVID-19 during their management, which prevented surgery and significantly extended time to healing. While small numbers of similar cases have been previously described this is the first reported case outside of the Netherlands and in a child. Being aware of such cases ensures early referral to specialist burn care for appropriate management to give patients the best possible outcome.

  • trauma
  • medical-surgical nursing
  • paediatrics
  • drug misuse (including addiction)
  • plastic and reconstructive surgery

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors All authors were involved in the care of this patient, contributed to the writing of the case report and approved the final draft.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.