Direct laryngoscopy was performed on 60 patients aged between 20-40 years old which were categorized as healthy (ASA PS1) and with mild to moderate systemic problems (PS II). The patients were placed into case and control groups. The first group was given 0.1 mg/kg BW midazolam as premedication with 0.01 mg/kg BW/ atrophine sulphate im. Fifty minutes later the pharynx was sprayed with xylocaine…