Johns Hopkins Vascular Clamps — Bypass-Weaning Protocol

The Johns-Hopkins vascular-clamp pattern (Baltimore JHU tradition Halsted-Cushing-Bloodgood-Blalock heritage) handles cardiopulmonary-bypass weaning-and-decannulation work — CPB-weaning protocol stepwise-reduction of-pump-flow during termination-of-cardiopulmonary-bypass after-cardioplegic-arrest and-cross-clamp-removal with-rewarming completed, decannulation venous-cannula withdrawal-and-purse-string-tightening with-clamp-control on-superior-and-inferior-vena-caval-cannulae, and aortic-cannula-removal with-purse-string-suture-tying after-protamine-reversal of-heparin completes. Johns-Hopkins-CPB.

CPB-weaning use

• CPB-wean-protocol stepwise-pump-flow termination post-cardiopl-XC-rem rewarm
• Decannulation venous-cannula withdrawal-purse-string SVC-IVC-cannulae
• Aortic-cannula-rem purse-string-tie post-protamine-rev-heparin

Johns Hopkins vascular clamp, AISI 420 stainless. Hand-finished in Sialkot.