Fluid or No Fluid? Reading the Heart, Lungs & IVC in Real Time | Butterfly Image Review @ButterflyNetwork
Fluid or No Fluid? Reading the Heart, Lungs & IVC in Real Time | Butterfly Image Review  @ButterflyNetwork
Uploaded June 2022 | Updated September 2026, 5 hours ago
Jacob Avila (VP of Clinical Education & Training) and Peter Weimersheimer (VP of Clinical Implementation) break down real patient cases live — from acute vs. chronic right heart strain to cardiac arrest ultrasound, regional wall motion abnormalities, and the ultimate question every clinician faces: does this patient need more fluids or pressors? Learn practical techniques for volume responsiveness, VExUS scoring, and more with the Butterfly iQ+.

Timestamps:

0:00 – Welcome and intro
1:04 – Acute vs. chronic right heart strain: key visual clues
5:46 – Five bedside signs to tell acute from chronic RV strain
10:34 – McConnell sign: PE vs. RV MI
14:28 – Early systolic notching (pulmonic valve Doppler)
18:48 – Cardiac arrest ultrasound: timing pulse checks right
26:50 – Lung point vs. ""heart lung point"" — avoiding unnecessary chest tubes
29:24 – Spotting regional wall motion abnormalities
38:26 – Case 1: Altered nursing home patient — pneumonia and fluid tolerance
44:59 – Case 2: Obese dialysis patient — fluids vs. pressors
46:51 – Ultrasound-guided femoral arterial line placement
50:41 – Volume responsiveness: carotid Doppler, corrected flow time, IJ/IVC collapse
59:17 – VExUS score: grading venous congestion
1:02:12 – Closing remarks and how to submit cases

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Disclaimer: For prescription use only. Butterfly iQ+™ is a portable ultrasound system designed for external ultrasound imaging. Read the User Manual for warnings, precautions, and contraindications.

#PointOfCareUltrasound #POCUS #ButterflyNetwork #ButterflyiQ #ImageReview #FluidResponsiveness #VolumeResponsiveness #FluidManagement #VExUS #IVCUltrasound #CardiacUltrasound #Echocardiography #CriticalCareUltrasound
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Fluid or No Fluid? Reading the Heart, Lungs & IVC in Real Time | Butterfly Image Review

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