I have never used a hookah, so I am not entirely familiar with the 'mechanics'. Am I correct in thinking that it works in a similar way to a
bong, in the sense that the smoke passes through water before you inhale, but has no 'toot' hole (the term we use here, not sure the 'global' term)?
If this is the case then it
may be difficult to inhale enough smoke quick enough without the aid of the hole.
Salvia is very fast acting and short lived, one must smoke the required amount (based on personal tolerance) in as short a space of time as possible, it is not the sort of thing you can 'keep topped up' by having a puff here and there. I would imagine that a bong would be a lot more effective.
You would also have to take into consideration the high burning point of Salvinorin-A, the main psychoactive compound in the plant, which would mean keeping a constant flame (or even better, use a torch lighter) on the salvia while burning, but you have to do this with a bong also.