Comparing Nebulized Ketamine,Nebulized Ketamine and Precedex and IM Ketamine for Analgesia in Pediatric Burn

Inclusion Criteria: * Patients of American Society of Anesthesiologists (ASA) physical status I \& II * Pediatrics aged from 3 to 10 years. * Both genders * Pediatrics that has burn injuries and need sedation for cannulation and dressing. * Burn \>5% body surface area and \<20% of surface area Exclusion Criteria: * ASA III and V patients with history of chronic illness * Patients with known allergy/hypersensitivity to the study drug * Congenital diseases or developmental delay or with neurological disease, * known case of bronchial asthma or difficult airway were excluded from the study * parents' refusal for participation in the study * Emergency surgeries with hemodynamic instability * mental retardation, * neurological or psychiatric illness that may be associated with anxiety and agitation (cerebral palsy, seizure, separation anxiety disorder, ADHD etc.). * treatment with anticonvulsants and sedatives * Major sepsis or extensive infection