Organ donation
The primary method of execution in the United States is via lethal injection which generally involves the administration of three drugs: sodium thiopental, a sedative to induce unconsciousness, pancuronium bromide (Pavulon), a muscle relaxant to cause respiratory arrest, and potassium chloride to trigger cardiac arrest. Organ donation following this method of lethal injection is often compared to donation after circulatory death (DCD). Similar to DCD organ donation following lethal injection faces the challenge of gathering organs before they become unusable due to hypoxia. Both the American Medical Association and the American Society of Anesthesiology oppose their members from participating in executions, although their abilities to sanction members for doing so are limited. In order to avoid the transplanting physician's involvement in the death of the inmate, the cause of death must be determined to be from lethal injection, and not from the removal of the patients organs. This means that after lethal injection, the medical examiner waits 10–15 minutes to test for sign of cardiac activity before pronouncing them dead. During this time hypoxia destroying the organs becomes a serious issue, but removal of the organs any earlier risks making the removal of the inmates organs the cause of death and not the lethal injection.