injection is now virtually the universal method of execution in the
injection was first considered as a means of execution in 1888 when
The British Royal Commission on Capital Punishment (1948-1953) also examined lethal injection but decided against it, partly due to pressure from the BMA, who were concerned about the ethics of doctors participating in executions.
again put forward in 1977 by Dr. Stanley Deutsch, who at the time chaired the
Anaesthesiology Department of Oklahoma University Medical School. In response
to a call by an
thus became the first to legislate for it in 1977.
seven American states now use lethal injection either as their sole method or
as an option to one of the traditional methods. These being Alabama, Arizona,
Arkansas, California, Colorado, Connecticut, Delaware, Florida, Idaho,
Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Mississippi,
Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New
York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina,
South Dakota, Tennessee, Texas, Utah, Virginia, Washington and Wyoming.
Philippines decided to use lethal injection to replace the electric chair and
carried out its first injection execution on the 4th of February 1999, when Leo
Echegaray was put to death for child rape. A further 6 men have been executed
by this method to the end of 2000 but there have been no executions since.
also been experimenting with lethal injection although most executions
continued to be by shooting up to 2002.
During 2003, it introduced a fleet of mobile execution vehicles. These are specially converted minibuses, which will operate in the southern province of Yunnan and the cities of Harbin and Shanghai. The windowless execution chamber at the back contains a metal bed on which the prisoner is strapped down. The executioner presses a button that starts an automatic injection process which can be watched on a video monitor next to the driver's seat and be recorded if required. Efficiency and cost were apparently the main reasons for the introduction of these vehicles, according to
The American Federal Bureau of Prisons has a $300,000 lethal injection facility at the federal prison in
The chamber is a stark, hospital-like room lined with green tiles and bare except for the large gurney equipped with 5 velcro restraints and a sink in one corner. (see picture)
The intravenous tubes pass through a small opening in the wall and into the executioner's room nearby. All but one room, the executioner's, are equipped with large two-way windows with curtains. The executioner's room is fitted with one-way glass. During an execution, prison officials will maintain an open telephone line to the Justice Department in Washington. The President has sole authority to grant a last minute clemency. Overhead, a camera linked to a monitor inside the executioner's room, will watch the process to note whether the prisoner suffers any pain during the procedure.
On the 11th of June 2001, Timothy McVeigh, (see picture) the
A prisoner found guilty after 1994 of a federal capital crime (of which there are now over 60), in states that do not allow for lethal injection as a method of execution, cannot legally be executed in
American military has also moved to lethal injection (from hanging) and now has
a facility in the basement of the military prison at
American execution procedure.
Lethal injection protocols vary from state to state.
Typically, the prisoner is strapped to a gurney (which is a wheeled hospital style trolley bed) or a fixed execution table, rather like an operating theatre table by leather or webbing straps over the body and legs. Click here for picture of the Texas gurney.
Their bare arms are strapped to boards projecting from the sides of the gurney. Trained technicians then insert a 14 gauge catheter (the largest commercially available needle) into a vein in each arm, a process that sounds much simpler than it often is. Once the catheters are in place, they are flushed with 10ml of a Heperin solution, to prevent clots forming inside the catheter, then a 1,000 ml bag of saline solution is connected to the catheter ends and the prisoner is either wheeled into the execution chamber or the curtains surrounding it are drawn back to allow the witnesses to see the procedure. When the condemned person has made any final statement, the prison warden gives the signal for the execution to begin and the technician(s), hidden from view behind a two-way mirror, begins to manually inject the three chemicals comprising typically of 15-50 cc of Sodium thiopental, 15-50 cc of Pavulon (the generic name for Pancuronium bromide) and 15-50 cc of Potassium chloride. There is a short interval between each chemical during which saline solution is injected to clean the IV line and prevent any chemical reaction which could block it. Typically, the actual injections will take from to 5 minutes to complete.
chemicals used in America are standard medical drugs. Sodium thiopental is a
short acting barbiturate which is used widely as an anaesthetic and causes
unconsciousness very quickly if injected into a vein. Pavulon is a muscle
relaxant that paralyses the diaphragm and thus arrests breathing whilst
Potassium chloride finishes the job by causing cardiac arrest. It is used in cardiac
surgery to stop the heart.
In most cases, the prisoner is unconscious about a minute after the Sodium thiopental has been injected and is dead in around 8 minutes, with no obvious signs of physical suffering. In October 2003, concerns have surfaced in American appeal courts about the use of Pancuronium bromide, which due to its paralysing effects, could mask a prisoner’s suffering if they have not been rendered fully unconscious by the initial injection of Sodium thiopental.
In some states,
a fully automated lethal injection machine is used that runs off a 12-volt
battery. It injects the chemicals in the right order and amount once the
catheters are in place. This considerably assists matters and avoids the
problems of mixing of the chemicals, which can lead to a reaction causing
precipitation, which makes them impossible to inject.
The machine has 6 syringes activated by mechanical plungers. Three syringes hold the lethal drugs, the other 3 contain harmless saline solution. Two buttons control the machine, one for the lethal syringes and one for the identical looking harmless ones.
The two executioners each press a button, and the syringes release the drugs into the IV line.
also carried out multiple executions. On the 30th of January 1995, in that
state's first multiple execution in 44 years, 33 year old Clifton Russell was
put to death just after midnight and Willie Williams, 38, was injected about an
hour and a half later. Texas carried out a further double injection in 1997.
(Dorsie Johnson-Bey and
lethal injection the humane alternative?
Execution by lethal injection takes much longer from start to finish than any other method, typically 30-45 minutes depending on the execution protocol and ease or otherwise of locating a vein. In the
It is fair to say that injection is much less dramatic than the electric chair or hanging and probably easier for the staff and witnesses as it looks more like a surgical procedure than an execution. But does it cause the prisoner less suffering overall?
When all goes well, the only physical pain is the insertion of the catheters. If the person's veins are easy to find, this can be done in a minute or so. The catheters are connected to the saline drip and the prisoner is wheeled into the execution chamber where they are in full view of the witnesses and journalists. After they have made their final statement, the injection of the lethal chemicals can begin and they may pass almost instantly from full consciousness into unconsciousness or they may feel themselves becoming drowsy and know that they are beginning to die.
In modern hanging, they are alive one second and unconscious the next (if everything goes to plan). It is unlikely that they feel themselves slipping into death.
Not everyone is of the opinion that death by lethal injection is painless - Dr. Edward Brunner, chairman of the Department of Anaesthesia at Northwestern University Medical School, submitted an affidavit on behalf of death row inmates in Illinois in which he states that lethal injection, "create[s] the substantial risk that prisoners will suffocate or suffer excruciating pain during the three chemical injections but will be prevented by the paralytic agent from communicating their distress." It is notable also that Albert Pierrepoint, who was one of Britain's most prolific hangmen and who witnessed an early lethal injection execution, considered that the process was "sadistic," mainly due to the length of time it took to render the prisoner unconscious.
minds of the American public and of jurors in capital cases, the perception of
lethal injection is of a clean, clinical and painless end. 71% of those
responding to my 2001 survey considered injection to be the least cruel form of
This perception is a great advantage to the state because the public are much more willing to accept execution in this form and jurors more willing to convict and pass the death sentence. The media interest in the eventual execution is also diminished.
There was intense media interest in the 3 hangings in
One wonders, however, if injection is as much of a deterrent as hanging or the electric chair to would be criminals, or whether they feel it is a "soft option"? This is an important point because if the state is going to take the life of a person, surely it should seek to produce the maximum deterrence from doing so within the realms of providing the prisoner with a quick and pain free death. Interestingly, in those states that allow the prisoner the choice of execution method, not everyone does choose injection.
problems with injection.
One of the main problems with lethal injection is the aqueous pressure in the executee's veins. Veins have an internal pressure (blood pressure) which has to be overcome to allow injection into them. A doctor, when giving a normal intravenous (IV) injection, has to equal and then slightly exceed this pressure. If he produces a pressure that is too great, he will rupture the vein. The doctor accomplishes this through his training, fingertip dexterity and experience built up from giving repeated injections. He feels the pressure in the vein against the top of the plunger of the syringe. In the case of a lethal injection, the volume of the fluid required to fill the plumbing of the IV tubes running between the executioner's cubicle and the prisoner, means that the syringes must be of 50-60 cc capacity. Syringes of this size are too big to give any real feel to the person administering the injection. Thus, too much pressure can easily be applied and a rupture of the vein may occur. This can happen in the case of giving a non-lethal injection into the good healthy veins in a normal person.
It is not unusual for the condemned prisoner to be a former intravenous drug abuser, with delicate, collapsed veins that can stand far less overpressure. This is also true of people who are insulin injecting diabetics. When a person with normal veins is frightened, their veins contract and become hard to find.
Before insertion of the catheters, a good vein must be located. It is not unusual for a "cutdown operation" to have to be performed to find a usable (not necessarily suitable) vein. This entails a minor surgical procedure on the arm, leg or groin carried out under local anaesthetic, using a subcutaneously injected dose of Xylocaine or similar local anaesthetic, administered by a medical technician. The public are seldom made aware of this and the witnesses would not typically see any evidence of it during the execution.
To produce a quick and painless death it is vital that the chemicals are injected into a vein, rather than an artery. Veins carry blood to the heart and arteries away from the heart. The path of the chemicals (particularly the potassium chloride) should be via the quickest route to the heart so as not to prolong the execution. If an artery is used by mistake, instead of a vein, the blood carrying the chemicals has to go the "long way round" significantly increasing the time taken to stop the heart. The distinction between a vein and an artery is not an easy one to make. Even a doctor can make a mistake! It is clear from reading reports of executions that the time between commencing the injection and certifying death varies a great deal.
As with the introduction of any new method, lethal injection has not been without some seriously botched executions, some of which are examined below. It is clearly, by no means a foolproof method, but perhaps the learning curve has now been surmounted as reports of problems seem to have greatly reduced.
14th, 1984 James Autrey. Texas.
Autrey took at least 10 minutes to die after the chemicals began to be injected. Throughout much of those 10 minutes, he was fully conscious and complained of pain. This was caused by the catheters clogging so delaying the transmission of the chemicals. It is also probable that the needle either did not enter the vein or passed through it. When the lethal chemicals enter the muscles instead, they cause considerable pain.
13th, 1985. Stephen Peter Morin. Texas.
Technicians had to probe both arms and legs with needles for 45 minutes before they found the vein.
20th, 1986 Randy Woolls. Texas.
A drug addict, Woolls, had to help the execution technicians find a good vein for the execution.
24th, 1987 Elliot Johnson. Texas.
It took 35 minutes to insert the catheter into his vein.
13th, 1988 Raymond Landry. Texas.
Pronounced dead 40 minutes after being strapped to the execution gurney and 24 minutes after the drugs first started flowing into his arms. Two minutes into the execution, the catheter came out of Landry's vein, spraying the chemicals across the room towards witnesses. The execution team had to reinsert the catheter into the vein. The curtain was closed for 14 minutes so witnesses could not observe the intermission.
24th, 1989. Stephen McCoy. Texas.
McCoy had such a violent physical reaction to the drugs (heaving chest, gasping, choking, etc.) that one of the witnesses (male) fainted, crashing into and knocking over another witness. The Texas Attorney General admitted the inmate "seemed to have somewhat stronger reaction," adding, "The drugs might have been administered in a heavier dose or more rapidly."
12th, 1990. Charles Walker. Illinois.
According to Dr. Edward A. Brunner, over 5 minutes after the activation of
24th, 1992. Rickey Ray Rector. Arkansas.
It took medical staff more than 50 minutes to find a suitable vein in Rector's arm. Witnesses were not permitted to view this scene but reported hearing Rector's loud moans throughout the process. During the ordeal, Rector tried to help the medical personnel find a vein. Attendants were about to prepare a "cut-down," when a vein in his right hand was finally discovered - an hour after the procedure began. The administrator of the Arkansas Department of Corrections medical programs said (paraphrased by a newspaper reporter), "the moans did come as a team of two medical people that had grown to 5 worked on both sides of his body to find a vein."
10th, 1992. Robyn Lee Parks. Oklahoma.
Parks had a violent reaction to the drugs. Two minutes after the drugs were administered, the muscles in his jaws, neck, and abdomen began to react spasmodically for approximately 45 seconds. Parks continued to gasp and violently gag. Death came 11 minutes after the drugs were administered. Wayne Greene a reporter on the Tulsa World newspaper described Park's execution as looking "scary and ugly."
1992. Billy Wayne White. Texas.
It took 47 minutes for the prison staff to find a suitable vein, and White eventually had to help them.
7th, 1992. Justin Lee May. Texas.
May had an unusually violent reaction to the lethal drugs. According to Robert Wernsman, a reporter for the Huntsville newspaper, The Item, May gasped, coughed and reared against his heavy leather restraints, coughing once again before his body froze. Associated Press reporter Michael Graczyk wrote, "He went into a coughing spasm, groaned and gasped, lifted his head from the death chamber gurney and would have arched his back if he had not been belted down. After he stopped breathing, his eyes and mouth remained open."
John Wayne Gacy, who had tortured and murdered 33 young men and boys during the 1970’s, was executed by lethal injection at the Stateville penitentiary in
After the injection began, one of the 3 lethal drugs clogged the tube leading into Gacy's arm, and therefore stopped flowing. Blinds covering the window through which witnesses observed the execution were then drawn. The clogged tube was replaced with a new one, the blinds were opened and the execution process resumed. Gacy actually took 18 minutes to die. Anaesthesiologists blamed the problem on the inexperience of prison officials who were conducting the execution, saying that proper procedures taught in IV 101 would have prevented the error.
3rd, 1995. Emmitt Foster. Missouri.
Foster was not pronounced dead until 30 minutes after the flow of chemicals began into his arms. After 7 minutes, the blinds were closed to prohibit the witnesses from viewing the scene. They were not reopened until 3 minutes after death pronounced. According to the coroner who pronounced death, the problem was caused by the tightness of the leather straps that bound Foster to the execution gurney. It was so tight that the flow of chemicals into the veins was restricted. It was several minutes after a prison worker finally loosened the strap that death was pronounced. The coroner entered the death chamber 20 minutes after the execution began, noticed the problem, and told the officials to loosen the strap so then the execution could proceed.
3rd, 2000. Christina Marie Riggs, Arkansas.
Christina Marie Riggs was the first woman to be executed in the state of Arkansas. The execution began 18 minutes late because of the difficulty in finding a suitable vein to insert the catheters into. She agreed to have the catheters placed in veins in her wrists. It is not unusual for the prisoner to have help staff in this way.
It is clear that lethal injection is now here to stay and the early problems with it appear to have been largely ironed out. Execution reports over the last few years indicate that mishaps and lengthy periods between commencement of the execution and unconsciousness have been eliminated. This may well be due to the use of better trained paramedic staff and also to a greater understanding of the technology.
It is now virtually the universal method in
Sharon Stone's, "Last Dance," gives a good insight into what goes on as well as examining many of the issues surrounding capital punishment in a balanced and sensitive way.