A medical tube holder (10) comprising a harness (11) and a pouch (26). The harness comprises a front panel (12) and a back panel (14) with two shoulder straps (16a, 16b) connecting an upper part of the front panel to an upper part of the back panel, with a head aperture (18) between the shoulder straps. The lower part of back panel comprises a first part of a connection mechanism (22) and the lower part of the front panel comprises two laterally extending straps (20a, 20b). The two laterally extending straps form a second part of the connection mechanism and the pouch is connected to one of the laterally extending straps.