Pharmacokinetics of amikacin during continuous veno-venous hemofiltration

Abstract
We studied the pharmacokinetics of amikacin in a patient with acute oliguric renal failure during continuous veno-venous hemofiltration (CVVH). The volume of distribution, terminal disposition rate constant and elimination half-life for amikacin were 27.9 L, 0.023-h−41 and 29.7 h, respectively. Total body clearance for amikacin was 10.54 ml/min and CWH clearance was 10.11 ml/min. Sieving coefficient for amikacin was 0.93 ± 0.16. Our data show that during CWH at a filtration rate of 10 ml/min, the clearance of amikacin is similar to that reported in patients with renal failure who are not being treated with CVVH. (Crit Care Med 1990; 18:675)

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