Peri Tonsillar Infiltration of Ketamine or Bupivacaine for Post Tonsillectomy Analgesia

Comparison Between Peri Tonsillar Infiltration of Ketamine or Bupivacaine for Post Tonsillectomy Analgesia

Comparison between the analgesic effect of local infiltration of either Bupivacaine or ketamine in the peritonsillar area before the incision of tonsillectomy to achieve postoperative analgesia

Inclusion criteria

• 3-20 years old patients
• elective tonsillectomy or adenotonsillectomy with or without ventilation tube application.

Exclusion criteria

• allergy to bupivacaine or ketamine
• coagulopathy
• endocrine, neuropsychiatric or cardiopulmonary dysfunction
• increase intracranial pressure (ICP)
• psychiatric illness, history of seizure, patients under chronic analgesic treatment
• history of peritonsillar abscess, tonsillar malignancy.