Background: Burns represents a frequently encountered and highly debilitating form of trauma. Immediate and judicious fluid resuscitation is imperative in the management of patients with severe burns, aiming to minimize morbidity and mortality. Nevertheless, to date, there has been a paucity of comprehensive bibliometric studies conducted on fluid therapy in the context of burn injuries. The objective of this study is to illustrate the current trends and potential future directions in this field, serving as a valuable reference for future research endeavors and clinical decision-making.

Methods: Relevant studies were collected from the Web of Science Core Collection. Bibliometrics and visual analysis were executed using Histcite, VOSviewer, CiteSpace, and R-bibliometrix.

Results: A total of 1140 documents on fluid therapy related to burn published from 1998 to 2022 were acquired. The annual publications and citations exhibited a gradual growth trajectory. The USA stands as the most productive nation in terms of academic output in this field, boasting a multitude of esteemed institutions. Besides, Cancio Leopoldo C from the US Army Institute emerges as the most prolific author, and Herndon David N from Shriners Hospital for Children garners the highest number of citations. As the foremost academic journals in this field, Burns and Journal of Burn Care & Research have published a substantial number of articles. Moreover, the most recent clusters of co-cited references include "Enteral fluid" and "Emergency burn care". Notably, the primary keywords encompass "fluid resuscitation", "burns", and "thermal injury".

Conclusion: Since the emergence of the phenomenon known as "fluid creep", there has been a shift in focus within the field from fluid types and volume mechanisms to the urgent care of burn patients. The investigation into fluid resuscitation, with an emphasis on achieving accuracy, will be an area of intense interest for future research.