Patients undergoing tracheostomy procedures often face the problem of skin irritation and the risk of accidental decannulation due to inadequate securement methods. The TRAKE-fit Tracheostomy Tube Holder addresses these issues by offering a comfortable and secure solution. A recent study compared the rates of skin-related complications and accidental decannulation in patients using hook and loop securement versus twill ties, highlighting that hook and loop securement significantly reduced skin irritation and eliminated accidental decannulation events. The TRAKE-fit holder is designed for maximum patient comfort with a cotton-lined neckband and offers ease of use by fitting quickly and securely. TRAKE-fit ensures reliable securement without the need for adhesive or narrow tape, making it ideal for both paediatric and small adult use with its adjustable narrow tabs.