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.
Click image to play. To initiate IV access, place the patientâs extremity in a dependent position and apply a tourniquet around the arm to distend the veins. Place the tourniquet above the antecubital fossa or approximately 4 to 6 inches (10 to 15 centimeters) above the anticipated site. Click image to play.