A prospective case-controlled randomized study was performed to assess the effect of ketamine 0.15 mg/kg pre-induction on postoperative narcotic requirements and pain scores. There was no significant reduction in analgesic consumption or pain intensity; however, more patients who received ketamine reported higher levels of satisfaction with their pain management.

A wide variety of paediatric surgical procedures are being done and the complication rates are low. Expansion of the service should be explored so that the cost reduction advantages can be maximized.