@Dr-Mark said in Does a large bore horn take more air?:
Hi Dr-GO,
...when discussing does a large bore trumpet take more air. In my opinion, it does.
Dr.Mark
Now my last personal reflection from this last quote response.
I have been practicing medicine for over 27 years, 31 years if you count my residency training. I am known nationally as a National Cystic Fibrosis Foundation leader and have been providing care for these patients, most with with severe obstructive pulmonary disease. The Foundation so recognizes my level of expertise that they have hired me to travel around the country to certify their over 127 clinical centers in the United States. In addition, I have been teaching lung function in the pulmonary module at the Boonshoft School of Medicine for over a decade.
Now with that introduction as to my experience in recognizing lung function, let me relate my 27 yeas of experience to what patients with obstructive pulmonary disease feel due to loss of air when they begin to experience an exacerbation of their disease. They do not even complain they are short of breath until their lung function falls below 15% of their baseline. So one of my patients with a baseline 80% lung function feels short of breath when the get to 68%. However, it is also true that one of my more end stage patients that have baseline function around 20% will feel short of breath when they fall to 3% (which is 15% of their baseline) as they just have no reserve due to scarring.
If you review my calculation above, the difference in a medium bore and large bore is just 2% difference of a normal persons' tidal lung volume. There is no physiological way from my 27+ years of medical practice and experience that I can say that a 2% difference will give an individual the sensation that this loss feels to them they have more work of breathing. Even my CF patient with a 20% baseline lung function wouldn't feel it as they don't complain of shortness of breath until the drop to 17%.
So I hope people reading this thread can appreciate and understand there is just no way for a human to feel that more air is needed for just a 2% difference in air volume. No way!