NEW YORK (VINnews) — A Tennessee execution went awry Wednesday night after death row inmate Christa Pike remained alive despite receiving two doses of the lethal-injection drug pentobarbital, prompting her transfer to a hospital and a suspension of the state’s remaining executions for 2026.

Pike, 50, was scheduled to become the first woman executed by Tennessee in more than 200 years. Witnesses reported that she continued breathing after the injections and that sounds including gasping and snoring could be heard from the execution chamber. She was subsequently taken to an off-site medical facility.

The Tennessee Department of Correction confirmed that Pike had been transported to a medical facility, but did not provide details about her medical condition. The department said it had followed the state’s approved execution protocol and that the drug used had consistently been effective in previous executions.

Pike’s attorneys said the state had “failed to carry out a lawful execution” and filed emergency legal motions following the incident. They argued that the failed procedure raised additional constitutional concerns about cruel and unusual punishment.

The incident came after an extraordinary series of court decisions earlier Wednesday. The Sixth U.S. Circuit Court of Appeals had temporarily halted the execution shortly before it was scheduled to take place, allowing time to consider claims that Pike’s history of childhood sexual abuse and mental illness had not been adequately considered.

The U.S. Supreme Court later lifted the stay, allowing Tennessee to proceed. Justices Sonia Sotomayor, Elena Kagan and Ketanji Brown Jackson dissented, arguing that the lower court should have been allowed to consider Pike’s claims before the state carried out the execution. The Supreme Court’s docket shows that it denied Pike’s application for a stay on September 29.

Pike was sentenced to death for the 1995 murder of 19-year-old Colleen Slemmer at a Job Corps training center in Knoxville. Pike was 18 at the time. Prosecutors said she and her boyfriend lured Slemmer into a wooded area, where she was beaten and killed. A pentagram was carved into Slemmer’s body, a detail that drew national attention during the 1990s “satanic panic.”

Pike has acknowledged responsibility for the killing, but her attorneys argued that her age, severe childhood abuse and mental-health problems should have resulted in a lesser sentence. They also raised concerns about Tennessee’s lethal-injection protocol and the potential for unnecessary suffering. Governor Bill Lee rejected her request for clemency on September 28.

Pike’s case was unusual even before Wednesday’s events. She was the only woman on Tennessee’s death row and, according to the Death Penalty Information Center, would have been the first person executed by Tennessee in the modern era for a crime committed at age 18, 19 or 20. The center notes that only 18 women have been executed in the United States since the death penalty was reinstated in 1976.

The failed execution also comes after another unsuccessful execution attempt in Tennessee earlier this year, according to the Associated Press. Following Wednesday’s incident, Governor Lee suspended all remaining executions in Tennessee for the rest of 2026 and ordered an independent review of the state’s execution procedures.

The case now raises a further legal question: whether and under what circumstances Tennessee could attempt to execute Pike again. Her attorneys are seeking court intervention following the failed procedure, while the state has not announced a new execution date.