The decision by the Missouri Supreme Court to allow propofol, the same powerful anesthetic that caused the death of Michael Jackson, to be used in executions — coming at a time when Texas, Ohio, Arkansas and other states are scrambling to come up with a new drug for their own lethal injections — is raising new questions about how the death penalty will be carried out.
“The bottom line is no matter what drugs they come up with, despite every avenue these states have pursued, every drug they have investigated has met a dead end,” said Deborah Denno, a professor at Fordham Law School who studies execution methods and the death penalty. “This affects every single execution in the country. It just stalls everything, stalls the process.”
With manufacturers now refusing to supply corrections departments with the drugs they had been using for executions, some states, like Georgia, have been resorting to obtaining drugs from unregulated compounding pharmacies — specialty drugmakers — which death penalty opponents say lack the proper quality control. Other states, as they run low on their old stock of drugs and are unable to replace them, are turning to new, untried methods like propofol or simply announcing that they are searching for a solution.
In the beginning, it was relatively simple and uniform. Several dozen states adopted the three-drug cocktail for executions first used by Texas three decades ago — a sedative (usually sodium thiopental) was mixed with a paralytic agent (pancuronium bromide) followed by a drug inducing cardiac arrest (potassium chloride). The idea was to provide a quick, painless method to replace the electric chair, gas chamber and firing squad.
But a shortage of pancuronium bromide a few years ago led some states to switch to a single-drug method, often simply administering enough sodium thiopental to cause death.
Source: The New York Times, August 18, 2013

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