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.
The internal jugular vein should be imaged and placed in the center of the ultrasound field. The needle should be angled at 40 to 60 degrees from the plane of the neck and 1 cm back from the middle of the ultrasound probe (Image 5).
1 Subcostal or infrasternal angle that is formed by the right and left subcostal margins and the xiphoid process. 2  Lower margin of the heart. 3  Superior end of the liver. 4  Inferior limit of the anterior thoracic cage.  Central tendon of the diaphragm [3]