A level 4 NICU, or level IV NICU, is the highest level of neonatal care. Although there is no official definition for a level 4 NICU, some states and hospital systems use this designation for NICUs that care for babies with the highest needs.
A level 4 NICU can provide:
- Care for babies at the lowest ages of viability
- Mechanical ventilation, including high frequency ventilation
- A wide variety of surgeries, including heart surgery requiring bypass
- Some level 4 NICUs may also provide ECMO
American Academy of Pediatrics Committee on Fetus and the Newborn. "Policy Statement: Levels of Neonatal Care." Pediatrics Nov. 2004. 114: 1341-1346.