Mastering Z-BUF in Hyperkalemia. My Near Misses
Mastering Z-BUF in Hyperkalemia. My Near Misses

Mastering Z-BUF in Hyperkalemia. My Near Misses

  • Faculty: Program director Joseph Basha, CCP
  • Date: May 1st, 2024 11:00 am
  • CEU’s: 3.6 CEUs
  • Price: $54
  • Category 3 CEU
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Course description


Webinar: Mastering Z-BUF in Hyperkalemia - My Near Misses

Welcome to an extensive educational session designed for perfusionists, focusing on the critical application of Zero Balance Ultrafiltration (Z-BUF) in managing hyperkalemia during cardiopulmonary bypass (CPB) procedures. This webinar is not just a lecture but a journey through real-life scenarios, practical solutions, and reflective learning from near misses that significantly highlight the stakes involved in cardiac surgery.

Understanding Hyperkalemia in CPB

Hyperkalemia, a frequent and potentially life-threatening issue during cardiac surgeries, necessitates meticulous management to prevent severe cardiac complications. It can arise from various intraoperative factors including tissue breakdown, blood transfusions, and metabolic shifts. Mastering the management of hyperkalemia through Z-BUF is paramount for ensuring patient safety and optimal surgical outcomes.

Exploring Zero Balance Ultrafiltration (Z-BUF)

Z-BUF is an advanced perfusion technique used to maintain electrolyte and fluid balance during CPB. It involves precise filtration processes that remove excess plasma water while maintaining essential blood constituents. This segment of the webinar provides a detailed exploration of the Z-BUF mechanism, its role in mitigating hyperkalemia, and its integration into standard CPB protocols. The discussion will extend to the setup, operation, and monitoring of Z-BUF systems, providing attendees with a robust understanding of how to effectively employ this technique.

My Near Misses: Lessons from the Field

Drawing from real-life experiences, this part of the webinar delves into several near-miss incidents that occurred during the application of Z-BUF in clinical settings. These stories are shared not only to highlight the potential risks and challenges but also to underscore the critical importance of vigilance, preparedness, and continuous learning in the practice of perfusion.

Each near miss is broken down to analyze what went wrong, how the situation was handled, and what could have been done differently. This reflective approach aims to enhance problem-solving skills and crisis management abilities among perfusionists. The cases discussed will cover scenarios such as unexpected equipment malfunctions, rapid physiological changes in patients, and decision-making under pressure, all of which provide profound insights into the complexities of managing hyperkalemia during CPB.

Best Practices and Advanced Strategies

The webinar will not only focus on problem identification but also on the formulation of strategies and best practices to prevent similar issues in the future. This includes comprehensive checklists for equipment and protocol reviews before surgery, strategies for dynamic monitoring and adjustment during procedures, and guidelines for post-operative assessments to ensure continued patient safety.

Attendees will learn how to integrate advanced monitoring technologies, utilize simulation-based training for crisis management, and adopt a multidisciplinary approach to patient care involving surgeons, anesthesiologists, and nursing staff. The emphasis will be on creating a culture of safety and excellence in perfusion practice.

Interactive Q&A Session

The webinar will conclude with an interactive Q&A session, allowing participants to ask questions and discuss their thoughts on Z-BUF and hyperkalemia management. This session is designed to foster a collaborative learning environment where participants can share experiences, solutions, and innovative ideas for improving perfusion practices.


"Mastering Z-BUF in Hyperkalemia: My Near Misses" is an essential webinar for perfusionists who wish to deepen their knowledge and expertise in managing one of the most critical aspects of cardiopulmonary bypass. Through this detailed presentation of techniques, real-life case studies, and interactive discussions, attendees will leave better equipped to handle the challenges of hyperkalemia in cardiac surgery, enhancing both their professional growth and patient care outcomes.

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Meet Your Instructor

Program director Joseph Basha, CCP

Program director Joseph Basha, CCP

Joseph has been a practicing clinical perfusionist for 40 years. Joseph is the CEO of Houston Extracorporeal Technologies and is the program director of The New Orleans Conference

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