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The protocol has been highly effective in producing a painless death but the time required to cause death can be prolonged Some patients have taken days to die and a few patients have actually survived the process and have regained consciousness up to three days after taking the lethal dose. If the person being executed were not already completely unconscious the injection of a highly concentrated solution of potassium chloride could cause severe pain at the site of the IV line as well as along the punctured vein but it interrupts the electrical activity of the heart muscle and causes it to stop beating.

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