This study included 35 children (average age: 8 years) undergoing surgery of the upper limb under brachial plexus block. The brachial plexus was approached by the brachial canal route, which is a simple, rapid and efficient way (34 were successful). The main advantage of this technique was the avoidance, in most children, of general anaesthesia as a complement. In addition, postoperative analgesia was satisfactory in all cases. In spite of large doses and volumes of lidocaine and bupivacaine used with this technique, no complication was observed.