 Welcome to NICU Diaries. Hosted by me, Aryan Pandey, taking you to a compelling journey into the world of neonatal intensive care at Manipal Hospital Whitefield. In this groundbreaking series, we will dwell into the lives of our tiniest and the most fragile patients, their family, and the dedicated medical professionals who tirelessly work to save these lives. Joining the charge is Dr. Sanjeeva Reddy, an esteemed MD and MRCPCH with an impressive 25 years of experience in pediatric and neonatalogy, including Decade in the prestigious NHS in United Kingdom. Joining him is a brilliant Dr. Ravi Shankar Swami, a renowned consultant and a neonatalogist, pediatrician who has spent the past decade at Manipal hospitals and has a vital role in Imperial College London hospitals. Dr. Swami brings an expertise, experience in research and simulation training from around the globe, making him a true expert in this field. Hello, doctors. So, we'll start the questions. The first question would be, what does NICU mean? So, NICU stands for Neonatal Intensive Care and this is for babies who require some extra support during the initial days. And how is this NICU different from PICU and ICU? Yeah. So, PICU is the equivalent of NICU for children or older and ICU is meant for the adults. So, the spectrum of problems that we see in newborn babies is very different to those problems that we see in older children and adults. And accordingly, the treatment and the supportive care we provide in NICU is also quite different. And what would be the age range? So, NICU predominantly units usually under one month. So, we try to keep babies under one month for some reason. So, that's what we try to keep. And what are the four levels of the NICU? Yeah. So, in the spectrum of Neonatal Intensive Care, so the most well babies are cared for in level one. So, and in the next, for example, babies who need maybe extra feeding support in the form of a tube, we put them in the level two, which is the special care. And in the next level of intensive care where babies may need help with their breathing, help to maintain the blood pressure. So, they need level three intensive care. And the level four intensive care is where the specialized most advanced care is provided. If I have to give an example like providing nitric oxide for babies who have high blood pressure in the lungs. And the latest treatment called cooling therapy for babies who have had oxygen deprivation and brain damage during birth. So, this kind of care is provided in the level four intensive care. And do all the newborn babies need a NICU care? So, not necessary all of them. There are certain criterias by which we define which babies will require NICU care. We can elaborate on this in the next series. Thank you doctors for your valuable insight. See you all in the next episode of NICU Diabetes.