Fighting COVID-19 together.

Learn how lung ultrasound can make a difference.
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The latest news.

Updated October 19
Publication
A study lead by Dr. Pivetta at Muriette Hospital in Italy suggests that integration of LUS with clinical evaluation has high sensitivity and specificity for COVID-19 and may help to identify false negative results occurring with RT-PCR.
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Systematic Review
Published by our friends at Leeds in the UK, a review of mounting evidence of the role of Lung US in COVID-19 detection.
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New COVID-19 Images
New COVID-19 clinical gallery categories including cardiac manifestations
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Publication
Ultrasound in Medicine & Biology publishes correlation between POCUS and COVID severity
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Press
Atrium Health and Butterfly Network Drive Innovation in Medical Imaging During COVID-19 Battle.
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iTeachU
Free COVID-19 lung ultrasound course.
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The COVID-19 Disparity: A Candid Conversation about the long-standing problem of healthcare inequality in our minority groups.
May 7, 2020 — 6pm EDT / 10pm GMT
Dr. John Martin
United States
Dr. Amy Zeidan
United States
Dr. Keith Ferdinand
United States
Doug Williams
United States
Dr. Kenneth Bernard
United States
Victoria Ngo, PhD
United States

COVID-19 resources.

COVID-19 gallery

Compare images between a normal lung and those from suspected or confirmed COVID-19 cases.

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Publications

Review publications written about lung ultrasound for COVID-19 patients.

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Shared best practices

A series of global protocols, guidelines and quick guides submitted by practitioners on the COVID-19 front lines.

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Butterfly Education

Learn how to use the Butterfly iQ to perform lung ultrasound using our library of videos.

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Cleaners and Disinfectants

Review the list of cleaners and disinfectants for your iQ along with a short video demonstrating how to cover your iQ and phone.

See the list

Role of POCUS

Learn how lung ultrasound plays a valuable role for COVID-19 patient management in multiple specialties.

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Butterfly Live

Butterfly is hosting a series of webinars for doctors and other health care professionals to learn more about the use of POCUS.

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From the Front Lines

Hear from clinicians around the world at the front lines of the COVID-19 pandemic.

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Clinical Partnership

Read about the clinical research in the fight against COVID-19 and find ways to get involved.

Read more here

Frequently asked questions.

These answers are provided by clinical experts, but should not be interpreted as comprehensive. Patients should always be assessed with their full clinical history in mind and are at the discretion of the individual physician.

Can lung ultrasound be used to diagnose COVID-19?

Lung ultrasound is used to identify pulmonary complications in suspected and/or confirmed COVID-19 patients and helps risk stratify those for admission and closer observation. It is not diagnostic of COVID-19.  The definitive diagnosis is made by real-time RT-polymerase chain reaction (rRT-PCR) detection of the SARS-CoV-2 virus (the virus that causes COVID-19) in respiratory specimens.

Why would I use lung ultrasound in a patient with suspected COVID-19?

Lung ultrasound is a portable, bedside, radiation-free, inexpensive imaging modality that can readily detect many features of COVID-19 associated lung disease. The cost, portability, accuracy and ability to use in an isolated environment lead to significant potential benefit over chest radiography or computed tomography (CT) imaging. Imaging findings can accelerate disposition decisions while awaiting culture results.

Why would I use lung ultrasound in a patient with confirmed COVID-19?

Clinicians are using lung ultrasound to assess and monitor COVID-19 patients with hypoxemia and to assess high risk infected patients to stratify disposition decisions. Lung ultrasound findings can change dynamically through the course of an illness, and monitoring for progression of B-lines and/or consolidation (or for resolution with return of a normal A-line pattern) could provide valuable information to the treatment team. While CT has confirmed value in the evaluation of COVID-19, many patients are too ill to transport or can extend the exposure risk to more health care providers. CT is also more expensive and studies suggest ultrasound may be equally as informative.

What are some of the lung ultrasound features of COVID-19?

The following ultrasound features have been described in patients with COVID-19 infection:
· A fragmented, irregular pleural line
· B-lines (focal, scattered and/or confluent)
· Bilateral involvement
· Posterior and lateral segment involvement
· Lung consolidation (ranging from small to lobar, with or without air bronchograms)
· Rare pleural effusions
· See this study and this study for further details

How can lung ultrasound be used in the triage of suspected cases, specifically in the presence of symptoms (fever, cough, fatigue, dyspnea), known COVID-19 contact or return from high risk area?

Dr. Mike Stone, emergency room physician and Director of Education at Butterfly Network, has put together a proposed protocol based on expert input. Please note that this protocol is not validated by prospective trials.  Other clinicians have also shared their protocols with us. View them here:

How could I use ultrasound to monitor a patient with confirmed COVID-19?

Serial examinations with lung POCUS can reveal worsening B-lines and/or consolidations, indicating progression of disease. Additionally, return of a normal A-line pattern may indicate signs of recovery. Multiple approaches have been described (6-,8-,12-, 14+ zone protocols) for lung evaluation with POCUS. You may also consider imaging the heart as a baseline measure of ejection fraction. This may be specifically relevant to intensivists caring for severely ill patients with COVID-19.

How should I disinfect my ultrasound probe?

We’ve expanded our list of chemically compatible cleaners and disinfectants for the iQ with 63 additional products. Clinicians may consider the use of a sterile probe sheath as an additional barrier precaution. View a demonstration video at the link: Compatible cleaners and disinfectants for COVID-19

Do the probe and phone still work when contained within a sheath? If so do you have recommendations as to which sheath should we use?

Many users have reported positive results placing both Butterfly and mobile device in a standard probe sheath. CIVCO has created a unique landing page for sheaths that will work with the iQ. You may also use standard sheaths available from ProTek, Medline, Sheathes and other retailers. For more details, view our COVID-19 cleaning and disinfection page.

I want to help! What can I do?

We are actively seeking to connect with the medical community, and add to the data available for research, teaching and understanding of COVID-19. Qualified professionals are encouraged to contribute to our library of de-identified positive cases, as well as share care delivery protocols. Contact us at covid@butterflynetwork.com for more details.

I want to contribute images! How can I do that?

The images and clips in our COVID-19 gallery originate from clinicians across the world and have been useful to accelerate learning and collaboration throughout our community. Please reach out to us via email at covid@butterflynetwork.com, and we will be happy to provide further instructions. We appreciate your contributions to this evolving resource center.

Stay connected.

Get involved.

We are working behind the scenes to help support front-line clinicians on managing patients with confirmed or suspected COVID-19. Join our community that is working together to share de-identified images of positive cases, care delivery protocols and other creative ideas to manage this public health pandemic.

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