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Lethal injection procedures have been largely unchanged - and unexamined - since the method was pioneered in the mid-1970s. It is possible that a condemned inmate might awaken during the lethal injection procedure, but because of the injection's paralytic agent, no observer would notice. The combination of two of the drugs used by executioners in Missouri and many other states has been condemned by the American Medical Veterinary Association for use in animal euthanasia.
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