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Tennessee Halts Executions After Pike Survives

Experts call the failed injection on Christa Pike medical malpractice, citing small needles and a lack of leadership during the procedure.

By Alexander Novak ·

Illustration for: Tennessee Halts Executions After Pike Survives
Illustration generated for this article, not a news photograph.

Tennessee has suspended all scheduled executions following a review of Christa Pike's survival.

Legal proceedings on Thursday revealed specific details about the state's failed attempt to kill Pike on September 30. Her attorney, Randy Spivey, submitted a chronological account of the events inside the death chamber. Medical experts who examined the timeline described the procedure as a series of technical errors.

The intravenous team struggled for nearly an hour to establish a line in Pike's arms. According to Spivey's account, members of the team used approximately 10 needles while repeatedly puncturing her arms. They expressed concern that her veins might have "blown" during the process. Jonathan Groner, an emeritus professor of clinical surgery at Ohio State University, stated that the conduct described would constitute medical malpractice in other settings.

The team switched to a 24-gauge needle at 7:05 pm, about half an hour into the procedure. Joel Zivot, a professor of anesthesiology and surgery in Atlanta, identified this catheter as the type typically used for infants or small children. Tennessee protocol required the injection of 50 cc of pentobarbital into each arm, totaling 5 grams. Zivot testified that pushing that volume through such a small catheter would likely rupture the vein. A team member announced at 7:07 pm, "I think it is blown."

The execution team also utilized ultrasound to locate a vein, a technique Groner said requires extensive specialist training. The account notes that saline was pushed through the line "with difficulty" at 7:23 pm. Groner described this resistance as a clear warning sign. One minute later, at 7:24 pm, the team declared the IV ready and began the lethal injection. Pike grimaced and reported that her arm was "really burning" during the procedure, contrary to vial instructions that suggest stopping infusion if a patient feels pain.

Pike was sentenced to death in 1995 for the murder of her classmate, Colleen Slemmer. She spent ten days in the hospital after the failed execution, including several days on a ventilator. Her lawyers had warned the state multiple times prior to the attempt that her veins were exceptionally small and compromised. Zivot cited a poorly written protocol and a lack of designated leadership as key failures. Tennessee is currently reviewing its execution methods as the case draws national attention to the practice.

Groner criticized the system as a "medical charade" that prioritizes speed over safety. Zivot noted that the team continued the procedure when safety protocols suggested they should have stopped. Both experts emphasized the absence of standard medical accountability in the death chamber. Pike has returned to her prison cell and can now talk and walk, though her long-term medical outlook remains uncertain.

Source: The Guardian

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