Convicted killer Clayton Lockett, 38, began writhing, clenching his teeth and straining to lift his head off the pillow Tuesday evening after he was supposedly rendered unconscious by the first of three drugs in the state's new lethal injection combination.
The execution was halted, and Lockett died of a heart attack about a half-hour later, authorities said.
While officials later blamed a ruptured vein, not the drugs themselves, the case is raising questions about the ability of states to administer lethal injections that meet the Eighth Amendment requirement that punishments be neither cruel nor unusual.
In light of other apparently bungled executions around the US in recent years, Jen Moreno, staff attorney at the Berkeley School of Law Death Penalty Clinic, said the risks are clear.
"To say that they're isolated incidents is mischaracterising them, and what they really are is foreseeable consequences of using an inherently dangerous procedure," she said.
Thirty-two states have the death penalty, and all of them rely at least in part on lethal injection.