Infraclavicular brachial plexus block is a preferred regional anaesthetic modality in elbow, forearm and hand surgeries in pediatric patients. The conventional approach to infraclavicular block by using ultrasound is performed in supine position with arm abducted to 90 degrees and the needle is inserted from cranial to caudal direction at a point 1cm below and 1cm lateral to midpoint of clavicle through which the catheter is inserted and left insitu, the complications of these approach are vessel puncture (2-33%), neurological injuries and pneumothorax. This study aims at an alternative approach to the brachial plexus block which targets the brachial plexus components at the costoclavicular level and is equally effective. The neurovascular bundle will be approached from the inferolateral aspect. This will be achieved by the anesthesiologist standing facing the head end of the patient and the needle will be inserted from caudal to cranial direction. Pediatric patients undergoing elbow and forearm surgery will be recruited. The study participants will be randomly assigned to the conventional or new approach and the patients will be masked about the allocation. The random allocation will be done using sealed envelopes which will be opened just before painting and draping the patient for nerve block. Information on pain score in post operative period in first 6hrs, 24 and 48 hours will be measured using FLACC pain scale. Complications like neurological injury during procedure, neurological damage at 24 and 48 hours will be assessed. Amount and frequency of rescue analgesia administered will be compared. Median pain scores will be compared to test equivalence between approaches. Incidence of complications and mean duration of analgesia will be compared using percentages and measures of central tendency respectively.