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.
First, the physician must determine whether the internal jugular vein is patent throughout its course and has a diameter greater than 0.7 cm. Internal jugular vein size of less than 0.7 cm may be an independent risk factor for unsuccessful venous cannulation3 (Image 3).