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.
The internal jugular vein should be imaged and placed in the center of the ultrasound field. The needle should be angled at 40 to 60 degrees from the plane of the neck and 1 cm back from the middle of the ultrasound probe (Image 5).
Ask your nephrologist and dialysis care team about numbing creams to reduce the pain and fear of needle sticks. Many patients find they prefer having control of the needle stick process (self-cannulation). When you self-cannulate, you can control and participate in this part of your vascular access care and treatment.