Uploaded March 2024 | Updated September 2026, 1 hour ago
In this Kidney Month edition of Butterfly's POCUS Power Hour, nephrology and emergency medicine experts explore how point-of-care ultrasound is transforming renal care — from volume assessment with VExUS (Venous Excess Ultrasound Score) to detecting hydronephrosis and guiding decongestive therapy at the bedside. Panelists share real clinical cases, practical scanning tips, and honest discussion of POCUS's strengths and limitations in nephrology, emergency medicine, and critical care.
Butterfly Speakers:
Davinder Ramsingh, MD — VP Clinical Research & Development, Butterfly Network
Peter Weimersheimer, MD, FACEP — VP Clinical Implementation, Butterfly Network
Guest Panelists:
Abhilash Koratala, MD, FASN — Director, Clinical Imaging Nephrology, Medical College of Wisconsin
Ramesh Soundarajan, MD — Director of Vascular Services, Associates in Nephrology SC, Chicago, IL
Megan M. Leo, MD — Clinical Associate Professor, Boston University SOM, Dept. of Emergency Medicine; BMC Medical Director of Quality & Patient Safety
Timestamps:
1:33 – Welcome & introductions
2:06 – Panelist introductions & their path into POCUS
5:02 – Evolution of POCUS in nephrology practice
9:34 – How each panelist got started in point-of-care ultrasound
17:14 – Whole-body POCUS in the kidney disease patient: overview
17:36 – Introduction to volume assessment & VExUS
18:20 – Dr. Soundarajan: applying VExUS in clinical practice (IVC, hepatic vein, portal vein, renal vein)
24:10 – Dr. Koratala: VExUS grading system explained
28:02 – Using VExUS to titrate decongestive therapy
31:14 – AV fistula effects on portal vein waveforms
34:00 – Beyond VExUS: cardiopulmonary POCUS assessment
38:24 – Case: bedside decision-making on vasopressors using IVC/cardiac views
39:40 – Limitations of IVC ultrasound & fluid responsiveness vs. tolerance
46:03 – Renal pathology & hydronephrosis detection
46:14 – Dr. Leo: POCUS vs. CT for renal colic — study findings
49:13 – Stone risk scoring tools (STONE score, STONE PLUS)
52:34 – Case review: cardiac function, pleural effusion & B-lines
54:28 – Case review: IVC and hepatic vein waveform interpretation
56:48 – Case review: amyloidosis with diastolic heart failure
58:47 – Hydronephrosis grading system explained
1:00:09 – Panelist closing takeaways & advice for learning POCUS
1:03:08 – Closing remarks
Whether you're a physician, nephrologist, emergency medicine clinician, intensivist, medical student, or POCUS enthusiast, this webinar provides valuable insights into using ultrasound to improve renal patient outcomes.
👍 Like this video, subscribe for more POCUS education, and leave your questions or experiences in the comments.
Disclaimer: For prescription use only. Butterfly iQ3™ is a portable ultrasound system designed for external ultrasound imaging. Read the User Manual for warnings, precautions, and contraindications.
#POCUS #PointOfCareUltrasound #KidneyMonth #RenalUltrasound #Nephrology #AKI #CKD #Hydronephrosis #KidneyDisease #VExUS #VolumeAssessment #CriticalCare #EmergencyMedicine #UltrasoundEducation #ButterflyNetwork
In this Kidney Month edition of Butterfly's POCUS Power Hour, nephrology and emergency medicine experts explore how point-of-care ultrasound is transforming renal care — from volume assessment with VExUS (Venous Excess Ultrasound Score) to detecting hydronephrosis and guiding decongestive therapy at the bedside. Panelists share real clinical cases, practical scanning tips, and honest discussion of POCUS's strengths and limitations in nephrology, emergency medicine, and critical care.
Butterfly Speakers:
Davinder Ramsingh, MD — VP Clinical Research & Development, Butterfly Network
Peter Weimersheimer, MD, FACEP — VP Clinical Implementation, Butterfly Network
Guest Panelists:
Abhilash Koratala, MD, FASN — Director, Clinical Imaging Nephrology, Medical College of Wisconsin
Ramesh Soundarajan, MD — Director of Vascular Services, Associates in Nephrology SC, Chicago, IL
Megan M. Leo, MD — Clinical Associate Professor, Boston University SOM, Dept. of Emergency Medicine; BMC Medical Director of Quality & Patient Safety
Timestamps:
1:33 – Welcome & introductions
2:06 – Panelist introductions & their path into POCUS
5:02 – Evolution of POCUS in nephrology practice
9:34 – How each panelist got started in point-of-care ultrasound
17:14 – Whole-body POCUS in the kidney disease patient: overview
17:36 – Introduction to volume assessment & VExUS
18:20 – Dr. Soundarajan: applying VExUS in clinical practice (IVC, hepatic vein, portal vein, renal vein)
24:10 – Dr. Koratala: VExUS grading system explained
28:02 – Using VExUS to titrate decongestive therapy
31:14 – AV fistula effects on portal vein waveforms
34:00 – Beyond VExUS: cardiopulmonary POCUS assessment
38:24 – Case: bedside decision-making on vasopressors using IVC/cardiac views
39:40 – Limitations of IVC ultrasound & fluid responsiveness vs. tolerance
46:03 – Renal pathology & hydronephrosis detection
46:14 – Dr. Leo: POCUS vs. CT for renal colic — study findings
49:13 – Stone risk scoring tools (STONE score, STONE PLUS)
52:34 – Case review: cardiac function, pleural effusion & B-lines
54:28 – Case review: IVC and hepatic vein waveform interpretation
56:48 – Case review: amyloidosis with diastolic heart failure
58:47 – Hydronephrosis grading system explained
1:00:09 – Panelist closing takeaways & advice for learning POCUS
1:03:08 – Closing remarks
Whether you're a physician, nephrologist, emergency medicine clinician, intensivist, medical student, or POCUS enthusiast, this webinar provides valuable insights into using ultrasound to improve renal patient outcomes.
👍 Like this video, subscribe for more POCUS education, and leave your questions or experiences in the comments.
Disclaimer: For prescription use only. Butterfly iQ3™ is a portable ultrasound system designed for external ultrasound imaging. Read the User Manual for warnings, precautions, and contraindications.
#POCUS #PointOfCareUltrasound #KidneyMonth #RenalUltrasound #Nephrology #AKI #CKD #Hydronephrosis #KidneyDisease #VExUS #VolumeAssessment #CriticalCare #EmergencyMedicine #UltrasoundEducation #ButterflyNetwork
