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Background Clinical management of COVID-19 requires close monitoring of lung function. While computed tomography (CT) offers ideal way to identify the phenotypes, it cannot monitor the patient response to therapeutic interventions. We present a case of ventilation management for a COVID-19 patient where electrical impedance tomography (EIT) was used to personalize care. Case presentation The patient developed acute respiratory distress syndrome, required invasive mechanical ventilation, and wasdoi:10.1186/s12890-021-01411-y pmid:33482796 fatcat:5rily2ay7nctdffvcs3cjlylre