Answer by Gavin Harrington. Confidence votes 4.0K. A bitch is a female canine. The same word is often used in reference to something unpleasant or difficult to do. E.g- We had to deliver twenty large crates to the top floor, and the lift was out-that job was a bitch.
After reading this article, the physician should be able to: 1  Proper equipment setup and positioning for UGCVC. 2  Ultrasound criteria for possible difficult UGCVC. 3  Procedural steps involved in locating, accessing and cannulating the internal jugular vein with ultrasound guidance.
Ask your nephrologist and dialysis care team about numbing creams to reduce the pain and fear of needle sticks. Many patients find they prefer having control of the needle stick process (self-cannulation). When you self-cannulate, you can control and participate in this part of your vascular access care and treatment.