Inclusion Criteria:  American Society of Anesthesiologists (ASA) physical status ≤ II Age from 21 to 60 years Body Mass Index (BMI) < 35 Mallampati classification ≤ II  Exclusion Criteria:  American Society of Anesthesiologists (ASA) physical status > II Age < 21 years or > 60 years Body Mass Index (BMI) ≥ 35 Mallampati classification > II Pregnant women Anticipated difficult airway Need for rapid sequence induction Increased risk of gastric aspiration such as gastroesophageal reflux Edentulous patients, Loose teeth Known pathology, trauma, or previous surgery to the mouth, pharynx, larynx, or cervical spine History of; Dysrhythmia, Hypertension, Ischemic heart disease, Hyperthyroidism, DM