Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 4 2023 07 27 372 374 Sashank Ayalasomayajula Department of Anaesthesia and Pain Medicine,Pt JNM Medical College and Dr B R Ambedkar Hospital, Pt Deendayal Upadhyay University, Raipur, India.Department of Anaesthesia and Pain Medicine,Pt JNM Medical College and Dr B R Ambedkar Hospital, Pt Deendayal Upadhyay University, Raipur, India. Amrita Jain Department of Anaesthesia and Pain Medicine,Pt JNM Medical College and Dr B R Ambedkar Hospital, Pt Deendayal Upadhyay University, Raipur, India. Shahida Khatoon Department of Anaesthesia and Pain Medicine,Pt JNM Medical College and Dr B R Ambedkar Hospital, Pt Deendayal Upadhyay University, Raipur, India. Sonali Sahu Department of Anaesthesia and Pain Medicine,Pt JNM Medical College and Dr B R Ambedkar Hospital, Pt Deendayal Upadhyay University, Raipur, India. 2022 11 11 2023 04 25 The traditional interscalene block has evolved over time to lower, lateral and posterior approaches, coinciding with the advent of Peripheral Nerve Stimulator and Ultrasonography. In limited infrastructure settings, such technology remains elusive and the classical paresthesia technique comes to the rescue. This approach is however very difficult to elicit in pediatric patients. It is here that the grassroot approach of a fascial “click” or “pop” emerges as the savior to administer a satisfactory block. We describe a case of a young boy with successful conduct of anaesthesia for K wire fixation of supracondylar fracture of humerus under lower interscalene block with loss of resistance technique. In light of recent research showing about 40-50% variation in the brachial plexus anatomy around the subclavian artery, use of technology in anaesthesia is the future. However, till such technology is made universally affordable, it is pertinent to remember the roots of interscalene block! https://aacc.tums.ac.ir/index.php/aacc/article/view/667