Respiratory failure & ventilation

Amikacin pharmacokinetics after nebulization among intubated patients

Crit CarePublished Population pharmacokinetic study

Authors' conclusion

Nebulized amikacin achieved high pulmonary concentrations with minimal systemic exposure. Tracheal aspirate and plasma drug concentration were not significantly influenced by ventilation or nebulization conditions.

Study context

Population
Mechanically ventilated patients receiving 20 mg/kg amikacin by vibrating mesh nebulization498 tracheal aspirates · 602 plasma samples
Participants
261 participants
Methodological detailsancillary study of a published randomised trial, population pharmacokinetic modelling
  • Ancillary study of a published randomised trial
  • Population pharmacokinetic modelling

Primary result

As reported in the abstract

Pulmonary and systemic amikacin pharmacokinetics

Median peak tracheal aspirate concentration (IQR 4935-9846 µg/g)

7269 µg/g

Median terminal half-life in tracheal aspirate (IQR 5.3-44.2 h)

7.6 h

Median peak plasma concentration (IQR 1.3-3.0 mg/L)

1.9 mg/L

Original publication

Amikacin pharmacokinetics after nebulization among intubated patients. Crit Care. Published 2 April 2026. doi:10.1186/s13054-026-05965-3

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