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.
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]