Abstract: An endotracheal tube holding and securing device is adjusted using a strap including mating hook and loop type fastener pads, such as sold under the TM VELCRO to hold an endotracheal tube in place after intubation has been performed. The endotracheal tube holder includes two identical hook-shaped members each having a hook portion. One hook-shaped member is inverted, superimposed and slidably connected to the second hook-shaped member. In this orientation, the curved faces of the hook-shaped members form a "C" shaped gripper used for holding the endotracheal tube. The hook and loop covered nylon strap is attached at the end of each hook-shaped member distant from the hook portion. The nylon strap is used both to secure the endotracheal tube holder to the patient's face and to apply a force at the end of each hook-shaped member that causes each member to slide in the direction of the applied force, causing the tube to be firmly gripped between the two curved faces of the two hook portions.