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Alto saxophone uses more air. By a long shot. You are right about the back pressure--because of the smallness of the bassoon reed opening, the air seeps out of your mouth more slowly.

But then this leads to a curious situation that double-reed players have to deal with that single reeds don't. Because of the back pressure, you end up going into oxygen debt, and you have to expel the air that builds up along the way before you need to take another breath. So you have to develop a breathing technique where you sometimes have to blow air out (not into the instrument) before you need to take another breath in.
 
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