Deputy Health and Disability Commissioner has noted several failings that led to a man's death following an incorrect intubation. The error was not picked up for 15 minutes and, during that time, the man sustained a fatal brain injury. After a successful Intubation, he was placed in the intensive care unit for 15 days until his ventilation was removed and he died. Now, following an investigation by the commissioner, Dr Vanessa Caldwell, it has been revealed that the Hawke&#