We read with interest the research letter in the journal by Yang et al.,  which provides an analysis of the success rate of awake flexible bronchoscopic intubation in patients with a high burden of illness. While the study reports a commendable 100% success rate, the highlighted incidence of complications such as multiple attempts, device changes, and cardiorespiratory instability adds a crucial dimension to our understanding of this technique. The article also underscores strategies like high-flow nasal cannula oxygen or a nasal approach to reduce desaturation risk. However, we believe that additional clarity regarding the methodology could enhance the interpretability of these findings. Specifically, it would be beneficial for readers if the authors expounded on the use of preoxygenation in the cohort and its method of administration, given its established correlation with the prevention of desaturation events. Additionally, clarifying the criteria for desaturation diagnosis and defining the pulse oxygen saturation (Spo2) thresholds for different desaturation severities would offer a more detailed perspective on the procedural complexity and patient outcomes.  Such details are essential for clinicians to accurately evaluate the risks associated with awake bronchoscopic intubation and to develop more effective patient safety measures.