Which item is NOT part of the CABG preoperative preparation?

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.

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.