Bronchiolitis is the most common cause of hospitalization for children < 12 months of age.1 Treatments such as bronchodilators, corticosteroids, or antiviral agents are ineffective and supportive measures remain the mainstay of treatment. The American Academy of Pediatrics clinical practice guideline includes a strong recommendation to meet the child’s hydration needs by either nasogastric (NG) or intravenous fluids. NG hydration is the preferred route for nonoral hydration in many parts of the world2–6  where it is recognized as an option that offers cost benefits, avoids painful intravenous sticks, and provides better nutrition than isotonic fluids.2–4,6,7  Best practice for administering NG fluids in infants with bronchiolitis has yet to be established.

The randomized control trial in this month’s Hospital Pediatrics by Courtney et al is the first study to compare bolus and continuous NG feeds in infants with...

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