Inclusion Criteria:  Pediatric patients between 6 months and 6-years old scheduled for a minimum of one procedure for burn wound dressing at the pediatric unit at Mbarara Regional Referral Hospital  Exclusion Criteria:  Children with rectal or anal pathology, Refusal to assent to participate or parental or guardian refusal to consent in the study Children who require mechanical ventilation or already intubated in Intensive care unit Those allergic to Ketamine or its constituents