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.
If desired, the wings are then taped to secure the cannula to the patient. Suturing is more likely in ITU, or at times when securing the line is difficult (e.g. severe burns with little intact skin). The switch allows for easy and mess-free change of monitoring sets, as is customary every couple of days on ITU. Please note: non-ported IV cannula (see datacard) can also be used for intra-arterial access but do not possess an 'on/off' switch. They are not usually licensed for arterial use and are used in this way at the clinican's discretion.