Abstract: Objective To analyze the research hotspots and trends of fluid management in adult patients. Methods CiteSpace 5.7.R2 software was used to analyze the literature on fluid management in adult patients from 2011 to 2021 in China National Knowledge Infrastructure（CNKI） and Web of Science（WOS） core collection database. Results A total of 506 Chinese literatures and 1 801 English literatures were retrieved. The number of articles published on fluid management showed an overall upward trend,but the number of articles published in English was much higher than that in Chinese,and reached the peak in 2017. Keyword co-occurrence analysis showed that research hotspots focused on septic shock,fluid responsiveness and hemodynamic monitoring. The cluster analysis showed Chinese literature formed nine clusters including cardiac function,volume management,hemodynamics,perioperative period,central venous pressure,fluid management,septic shock,qualitative research and enhanced recovery surgery. English literature formed 10 clusters,including major abdominal surgery,historical cohort study,acute kidney injury,perioperative fluid management,fluid responsiveness,colloid solution,cardiopulmonary resuscitation,emergency department patient,ill patient,controlled trial. The burst keyword “goal-directed fluid management in perioperative period” reflected the research frontier of fluid management. Conclusion The research objects focused on critically ill patients,and the research theme mainly involved hemodynamic monitoring,fluid responsiveness and intravenous infusion. The research trend is goal-directed fluid management in perioperative period,but the research tends to be medical,and needs to be expanded in the field of nursing.

Key words: Fluid Management, Perioperative Period, Research Hotspot, Bibliometrics, Data Visualization, Nursing Research