Comparision of topical ketamine versus dexamethasone for post tonsillectomy pain relief in paediatric patients- a prospective study

Tonsillectomy is very commonly performed surgery in children and  is associated with significant postoperative pain. Various methods were opted over period for postoperative pain relief including intravenous ketamine and dexamethasone. In our study we aim to compare topical application of  ketamine versus dexamethasone for postoperative analgesia in patients undergoing tonsillectomy. ketamine at a dose of 2mg per kg as a single dose will be applied topically in the fossa aloowing a contact period of 5 min, similarly dexamethasone at a dose of 0.2 mg per kg will be applied topically  in the other group. parameters like postoperative pain scores, postoperative nausea and vomiting, sedation score, bleeding, need for rescue analgesia will be documented and studied.