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Death By Propofol In Missouri

Missouri is the first state in the nation to change its protocol for executing prisoners from a three-drug cocktail to the single drug Propofol. The switch is due to a shortage of a key drug, which has stalled lethal injections across the country.

Other states may eventually follow Missouri’s lead, but the drug known recently for killing pop star Michael Jackson is no silver bullet either.

There is certainly no shortage of Propofol. The anesthetic manufactured in Europe is used to sedate or induce sleep for all kinds of medical procedures from hip replacements to colonoscopies.

Deb Baysinger has pushed the white liquid into the veins of numerous patients as a nurse at St. Luke’s Hospital in St. Louis. She says she was surprised to learn Missouri would be the first in the nation to use Propofol for lethal injections.

“I thought: Huh! They finally got smart. You know it’s not a drug that I’d thought of either. You know I had been following some that they’d used in Texas and Oklahoma – you know, those drugs. And to hear Propofol come up – I just thought it was a good idea.”

Baysinger’s daughter, Joanna, was murdered 14 years ago during a robbery in Columbia, Missouri. But a shortage of the drug sodium thiopental used in Missouri’s lethal injection protocol has held up the execution of Earl Ringo – the man convicted for her death. 

Baysinger says Missouri’s decision to use Propofol could finally mean closure for her and her family.

“To have the execution carried out, see it done, would be like: Joanna, we got you justice.”

But, Propofol is known to sometimes cause a localized burning sensation and Missouri’s new protocol calls for an injection of about 15 times an average hospital dose. Some argue the pain could be that much worse.

To offset the risk, the protocol includes 10 CCs of Lidocaine – a local anesthetic – but there are no tests to prove its effectiveness with such a large dose of Propofol.

“How, how would one test a form of execution? This is not the kind of thing on which medical scientists conduct clinical trials.”

John William Simon is a St. Louis attorney specializing in Constitutional advocacy. He says the new protocol violates the 8th amendment of the Constitution that forbids cruel and unusual punishment.

Simon’s client, Earl Ringo, is one of 21 Missouri death row convicts now suing the Department of Corrections over this issue.

Ringo’s case includes affidavits from two medical experts asserting that the two grams of Propofol called for in Missouri’s protocol would almost certainly cause pain.

A spokesman for the department declined comment on the pending litigation.

Simon believes if the lawsuit fails “there will begin to be botched executions that will be a gross embarrassment for the people who foisted this policy on the state of Missouri and no state will go within a country mile of adopting Propofol.”

Still, Missouri appears intent on resuming capital punishment sentences. Only two men have been executed in the state since 2005. A week after Missouri’s Department of Corrections changed its lethal injection protocol, Attorney General Chris Koster called on the Missouri Supreme Court to set execution dates for 19 death row inmates.

Koster says justice has waited long enough.

“The single drug protocol that has been developed by the DOC will probably come under scrutiny over the next several months, but is time to move this process forward and silence on the issue is really not an option.”

That scrutiny won’t be limited to the courts, however. Lawmakers in the United Kingdom announced plans on Wednesday to ban export of the drug to the U.S. due to Missouri’s new lethal injection protocol.

It was a similar ban on sodium thiopental in 2010 that eventually led other European countries to ban its export as well. For now there is a steady supply of Propofol to the US, though the Missouri Supreme Court has still yet to set any execution dates.

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