Neonatal upper limb ischemia due to accidental arterial damage remains a major concern. which can lead to devastating complications if untreated. The primary objective of this case report is to emphasize the role of continuous infraclavicular brachial plexus block. the issues related with block performance in an ischemic hand. https://www.chiggate.com/3m-speedglas-9002nc-welding-helmet-fashion/