Which item is NOT part of the CABG preoperative preparation?

• A. Anticoagulants discontinued at least 3 days preop
• B. Antiplatelets discontinued at least 5 days preop
• C. Bathe/shower w/ antimicrobial soap
• D. Discontinue statin

Answer: (D)

In CABG planning, the team aims to reduce bleeding risk and infection while preserving heart protection. Stopping anticoagulants for a few days helps minimize intraoperative bleeding, and stopping antiplatelets for several days likewise lowers bleeding risk during grafting. Cleaning the skin with an antimicrobial soap is a standard infection-prevention measure. However, statins are typically continued through the perioperative period because they help reduce perioperative myocardial events and support vascular health. Discontinuing a statin is not part of standard CABG preoperative preparation, so that option is the one that does not fit.