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.
Inferior venacavography. Inferior venacavography is performed through the right internal jugular (IJ) vein or either common femoral vein (CFV). The jugular route must be taken in patients with bilateral common femoral, iliac vein, or inferior vena cava (IVC) thrombosis. Real-time sonographic guidance is mandatory for IJ vein puncture and is helpful for access at the groin.