A 77-Year-Old Man Presented to the Emergency Department with Abdominal

A 77-year-old man presented to the emergency department with abdominal pain with a medical history of heavy alcohol abuse and hypertension. Upon physical exam he appeared drowsy and confused, and his distal extremities were cool and cyanotic. His SBP was 75/50 mm Hg, HR 125 beats per minute, and lactic acid 6.0. His abdomen was tense and distended. A CT scan of the abdomen showed extraluminal gas and suspected extraluminal feces consistent with a perforated sigmoid colon. He was treated with IV antibiotics, and crystalloids (Normal Saline or Lactated Ringers) were started. What is the goal of a CVP with a patient with sepsis?

A) CVP of ≥ 5 mm Hg
B) CVP of ≥ 6 mm Hg
C) CVP of ≥ 7 mm Hg
D) CVP of ≥ 8 mm Hg